What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service...

81
What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori Price, MPH, BS Alaska Department of Health and Social Services Section of Chronic Disease Prevention and Health Promotion Alaska Health Summit January 22, 2020

Transcript of What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service...

Page 1: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

What do breastfeeding food service guidelines and active transportation have in common

Dawn Groth RN BSN MSOEELori Price MPH BS

Alaska Department of Health and Social Services

Section of Chronic Disease Prevention and Health Promotion

Alaska Health SummitJanuary 22 2020

Presenter
Presentation Notes
My name is Lori Price this is my friend Dawn Groth and we are here from Alaska Department of Health and Social Services Section of Disease Prevention Physical Activity and Nutrition Unit In the next hour we are going to teach you what breastfeeding food service guidelines and active transportation have in common

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

Overview

bull Evidence based initiatives to improve nutrition and physical activity

bull Physical activity and nutrition standards recommendations and best practices

bull What is the problem

bull What are we doing

bull How you can help

The problem Too Many Alaska Adults have Obesity

24

32

2012 2013 2014 2015 2016 2017 2018

Source httpdhssalaskagovdphChronicDocumentsObesitypubs2017AlaskaObesityFactspdfource AK BRFSS

Presenter
Presentation Notes
13It has been estimated that Alaska spends $12 billion each year on the direct medical healthcare costs related to adult obesity alone4 This does not include the additional costs of lost productivity and other ldquoindirectrdquo costs of obesity 1313Mention increased cost of expensive diseases such as heart disease arthritis diabetes and cancers Diseases that are starting at younger ages Annually in Alaska frac12 a billion dollars in medical care cost related to obesity 1313These costs are only expected to increase based on increases in Medicaid coverage and healthcare costs in general as well as an expected rise in obesity prevalence1313Medical costs for obese people were almost $1500 (fifteen hundred dollars) higher than healthy weight people in 2006 dollars increasing health insurance premiums1313bullSource httpdhssalaskagovdphChronicDocumentsObesitypubs2017AlaskaObesityFactspdf13

Alaska is a one of only 16 states funded by CDC State Physical Activity

and Nutrition (SPAN) grant

httpswwwcdcgovnccdphpdnpaostate-local-programsspan-1807span-1807-recipientshtml

Presenter
Presentation Notes
this is an amazing opportunity our program has never had resources at this level to work on primary prevention of chronic disease before1313Grant funding prioritizes program efforts for families with low SES and Alaska Native1313httpswwwcdcgovnccdphpdnpaostate-local-programsspan-1807span-1807-recipientshtml13

Our work based on Evidence Based Public Health strategies

Presenter
Presentation Notes
These reports from CDC are strong evidence and each of these publications are packed with evidence rich strategies designed to improve nutrition and increase physical activity If we invest in these health strategies we are investing in health

Three Initiatives

1 BreastfeedingMake Breastfeeding easier to start and sustain

2 Food Service GuidelinesMake healthy food choices available everywhere

3 Active TransportationMake active transportation safe and accessible

Nutrition

Physical Activity

Investment in Health

Presenter
Presentation Notes
Help hospitals use evidence-based maternity care practices to support new mothers to start breastfeeding1313Improve healthy food options through procurement to include healthy food service guidelines in state agencies and community settings where food is offered served and sold1313Support active transportation and land use policies to make more activity-friendly routes to everyday destinations1313Improve standards that help prevent childhood obesity (breastfeeding healthy eating physical activity and limit screen time) within their existing ECE systems 1313

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Breastfeeding Improves Nutrition and is an Investment in Health

Source httpswwwcdcgovbrestfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Lori ldquoNow Irsquom going to let my friend and colleague Dawn show you how breastfeeding improves nutrition and is an investment in health ldquo13____________________________________________________________________________________________________________________________________________________________________________13Dawn Thank you Lori for setting the stage 1313Foreword from the Surgeon General US Department of Health and Human Services Regina M Benjamin MD MBA1313The Surgeon General says ldquo 13ldquoFor nearly all infants breastfeeding is the best source of infant nutrition and immunization protection and it provides remarkable health benefits to mothers as well Babies who are breastfed are less likely to become overweight and obese ldquo131313And yet within only three months after giving birth more than two-thirds of breastfeeding mothers have already begun using formula By six months postpartum more than half of mothers have given up on breastfeeding and mothers who breastfeed one-year-olds or toddlers are a rarity in our societyrdquo1313US Department of Health and Human Services The Surgeon Generalrsquos Call to Action to Support Breastfeeding Washington DC US Department of Health and Human Services Office of the Surgeon General 20111313

Alaska Breastfeeding Initiative

Presenter
Presentation Notes
Irsquom going to talk about Alaska Breastfeeding Initiative- and the evidence based strategies we are working on throughout Alaska 1313131313httpspediatricsaappublicationsorgcontent1293e827fullcontent-block- AAP endorses TEN STEPS TO SUCCESSFUL BREASTFEEDING1313Hospital practices in the first hours and days after birth make the difference in whether and how long babies are breastfed Remember that is Step 4-9 13Step 4- help mothers initiate breastfeed asap (skin to skin)13Step 5- show mothers how to latch13Step 6- only breastmilk unless formula medically necessary13Step 7- Rooming in13Step 8- Breastfeeding on demand13Step 9 no pacifiers13 1313The International Code Marketing of Breastmilk Substitutes by offering education and educational material that promote human milk rather than other food and drinks and by refusing to accept or distribute free or subsidized supplies of breastmilk substitutes nipples and other feeding devices 1313of commercial discharge packs which contain samples of breastmilk substitutes adversely affects breastfeeding and there is no justification for giving them Second discontinuing the provision of formula in maternity facilities has been shown to be one of the most cost-effective health interventions known1313Hospital routines can help or hinder new mothers and babies while theyrsquore learning to breastfeed 131313CDCrsquos national survey of Maternity Practices in Infant Nutrition and Care (mPINC) is administered every two years to monitor and examine changes in practices over time at all hospitals and birth centers with registered maternity beds in the United States and Territories1313So our work will be officially evaluated by CDC in 2021 and results available 2022 1313But we are doing internal programmatic evaluations every year with the hospitals we have offered TEN STEP training 13We are offering technical assistance and sharing model TEN STEP POLICIES 13We recently helped Fairbanks write a grant to receive funds to concentrate specifically on the most evidenced steps I mentioned earlier STEP 3- prenatal and Step 10 community support 1313

1

image1png

Benefits of Breastfeeding

bull Obesitybull Type 2 Diabetesbull Sudden infant death

syndromebull High blood pressurebull Certain cancers

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
BREASTFEEDING IS AN INVESTMENT IN HEALTH NOT JUST A LIFESTYLE DECISION 1313BENEFITS FOR INFANTS 13Infants who are breastfed have reduced risks of bull Asthma bull Obesity bull Type 1 diabetes bull Severe lower respiratory disease bull Acute otitis media (ear infections) bull Sudden infant death syndrome (SIDS) bull Gastrointestinal infections (diarrheavomiting) bull 1313BENEFITS FOR MOTHERS 13Breastfeeding can help lower a motherrsquos risk of bull High blood pressure bull Type 2 diabetes bull Ovarian cancer bull Breast cancer 131313Breastfeeding provides unmatched health benefits for babies and mothers It is the clinical gold standard for infant feeding and nutrition with breast milk uniquely tailored to meet the health needs of a growing baby We must do more to create supportive and safe environments for mothers who choose to breastfeed Dr Ruth Petersen Director of CDCrsquos Division of Nutrition Physical Activity and Obesity 1313Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

American Academy of Pediatrics (AAP)Recommendations

bull Exclusive breastfeeding for about 6 months

bull Introduce foods at about 6 months

bull Continued breastfeeding 12 months or longer

Source Pediatrics March 2012 129 (3) e827-e841 DOI httpsdoiorg101542peds2011-3552

Presenter
Presentation Notes
13Breastfeeding is a natural and beneficial source of nutrition and provides the healthiest start for an infant and promotes a unique and emotional connection between mother and baby 1313The AAP policy Breastfeeding and the Use of Human Milk is one of the most accessed policies available from the AAP because of its importance for the health of families here in the US and throughout the world1313In the policy statement Breastfeeding and the Use of Human Milk published in the March 2012 issue of Pediatrics (published online Feb 27) the American Academy of Pediatrics (AAP) reaffirmed its recommendation of exclusive breastfeeding for about the first six months of a babys life followed by breastfeeding in combination with the introduction of complementary foods until at least 12 months of age and continuation of breastfeeding for as long as mutually desired by mother and baby 131313Source Pediatrics March 2012 129 (3) e827-e841 DOI httpsdoiorg101542peds2011-3552 13Source httpswwwaaporgen-usabout-the-aapaap-press-roompagesaap-reaffirms-breastfeeding-guidelinesaspx131313

Letrsquos monitor how Alaska is doing

Presenter
Presentation Notes
Letrsquos monitor how Alaska is doing according to Mothers and Hospital reports

Alaska PRAMS

What mothers report

Presenter
Presentation Notes
13Two reports that use CDC PRAMS as a Data Source 13httpdhssalaskagovdphChronicDocumentsObesitypubs2019ChildhoodPAN_Factspdf131313PRAMS started as an initiative to reduce infant mortality and low birthweight Three states do not participate CA ID and OH just interesting I will not share 1313Surveys mailed to women CDC survey ~150month telephone calls attempted to women who do not respond by mail Survey of mothers health before during and after pregnancy 13Birth records available when baby minimum of 2 months and a maximum of 6 months13Women whose babies have died are still included letters specific for grieving mothers are mailed out in these situations 13When birth multiple one infant is randomly selected and pending adopts are included as long as biological mother is identified on birth record13Randomly samples approximately 16 of all live births in Alaska13Alaskarsquos population is ~ 73700013About 66 are white 15 Alaska NativeAmerican Indian13Alaska PRAMS eligible population is ~11000yr13About 65 are white 25 Alaska Native13We were the 7th state to join PRAMS (now 47)13Wersquove collected 30 years of data (since 1990)13

Breastfeeding initiation 2017

bull Initiation rate of 93 top in the country (US Avg 88)bull Disparities exist but we know mothers of all ages race and

income levels can be successful at breastfeeding

httpdhssalaskagovdphChronicDocumentsObesitypubs2019ChildhoodPAN_Factspdf

Presenter
Presentation Notes
the surgeon general goes on to say ldquoMany mothers in the United States want to breastfeed and most tryrdquo Remember this is Step 4 of Ten Steps ldquoHelp Mother Breastfeedrdquo

Any breastfeeding at 8 weeks 2016

Source Alaska PRAMS FPL = Federal Poverty Level Note US value is from 2015 and based on weighted mean of 35 participating PRAMS programs meeting required response rate threshold set by CDC Source 2015 Alaska PRAMS survey (Pregnancy

Risk Assessment Monitoring System)

bull 8-week rate of 83 far exceeds the US bull Mothers of all ages race and income levels can be successful

at breastfeeding

Presenter
Presentation Notes
the surgeon general goes on to say ldquoMany mothers in the United States want to breastfeed and most tryrdquo 131313 And yet within only three months after giving birth more than two-thirds of breastfeeding mothers have already begun using formula By six months postpartum more than half of mothers have given up on breastfeeding and mothers who breastfeed one-year-olds or toddlers are a rarity in our societyrdquo131313Could be related to Step 3 Prenatal education Step 5 Show mothers how to breastfeed and how to maintain lactation even if separated from baby Step 10 Community Support 1313quote I read earlier ldquomany mothers in the US want to breastfeed and most tryrdquo Alaska is much the same Alaskarsquos high breastfeeding initiation rates show that most mothers in the AK want to breastfeed and start out doing so1313Overall AK rates exceed US rates You can see Alaskarsquos 8-week breastfeeding rate of 83 far exceeds the US comparison at 661313Younger and older mothers can both be successful at breastfeeding 1313mothers of all races and income level can do well with breastfeeding 1313Women with limited economic means can achieve breastfeeding1313Mothers of all ages race and income levels can be successful with breastfeeding 1313Source Alaska PRAMS FPL = Federal Poverty Level Note US value is from 2015 and based on weighted mean of 35 participating PRAMS programs meeting required response rate threshold set by CDC 1313Source Alaska Maternal and Child Health Data Book 2018 PRAMS edition1313

Why do Alaska mothers report stop breastfeeding

before their babies are 8 weeks old

bull Return to work or schoolbull No timebull No placebull Too painfulbull Not enough milk

Source 2015 Alaska PRAMS survey (Pregnancy Risk Assessment Monitoring System)

Presenter
Presentation Notes
According to the httpdhssalaskagovdphwcfhDocumentsmchepipramsAlaska_Breastfeeding_Topic_Report_2012-2014pdf

Alaska PRAMS Reports

By 8 weeks post-partum 50 of the mothers who stopped breastfeeding reported doing so because they thought that they did not have enough milk

20

SourcehttpdhssalaskagovdphwcfhDocumentsmchepipramsAlaska_Breastfeeding_Topic_Report_2012-2014pdf

Presenter
Presentation Notes
Mothers reported stopping because they felt they did not have enough milk Remember when I mentioned that the steps with the most evidence The TENS STEPS can educate mothers about how to realize if babies are getting enough milk 131313This information is from the 2015 Alaska PRAMS survey (Pregnancy Risk Assessment Monitoring System)13PRAMS asks Alaskan mothers for information about breastfeeding about 3-4 months after delivery1313PRAM is Randomly samples approximately 16 of all live births in Alaska13Alaskarsquos population is ~ 73230013About 71 are white 17 Alaska Native13Alaska PRAMS eligible population is ~11000yr13About 65 are white 25 Alaska Native13We were the 7th state to join PRAMS (now 40)13Wersquove collected 25 years of data (since 1990)1313Monthly batch sampled from Bureau of Vital Statistics birth records13Teenage mothers are included13PRAMS data are linked to the birth certificate13Higher risk moms are oversampled13Primarily mail w phone follow-up132-6 months after birth13Allows for postpartum questions 132 months (8 weeks) is the maximum age where all respondents are eligible to answer1313131313Mothers need good educationinformation about breastfeeding and baby health and behaviors1313This point many potential factors13motherrsquos lack of knowledge of baby behaviorhelliphelliphelliphellipcrying is not early cue13Latch issues13Checking wet diapers poo13Checking babyrsquos weight1313Any IBCLCs here 1313If mothers and babies donrsquot breastfeeding after 8 weekshelliphelliphelliphelliphellip1313The ten steps address thishelliphelliphelliphelliptalk about how13

Hospitals report

Presenter
Presentation Notes
In October 2003 CDC convened an expert panel of researchers with specific experience in surveillance and monitoring of hospital practices related to breastfeeding At the time no system in the US collected nationally representative data on these practices The Expert Panelrsquos recommendation was to establish an ongoing national system to monitor and evaluate hospital practices related to breastfeeding among all facilities that routinely provide intrapartum care in the US1313In 2007 CDC administered the first national survey of maternity practices related to breastfeeding known as the mPINC survey It is administered every two years to every facility in the US that routinely provides maternity care services and is completed by a key informant on behalf of his or her institution in their capacity as the person most knowledgeable about the relevant practices13

Ten Steps to Successful Breastfeeding Evidence-Based

Presenter
Presentation Notes
Ten Steps to Successful Breastfeeding in both these documents as evidence based strategies to improve breastfeeding outcomes
Presenter
Presentation Notes
13Ten steps ndashoverviewhelliplist all ten1313The ten steps to successful breastfeeding include 131 Hospital breastfeeding policies- that address all TEN STEPS 132 Staff education of breastfeeding best practices and even a designated staff member responsible for lactation support133 Pre an post partum breastfeeding education134 Help mothers breastfeed within the first birth hour135 Who mothers how to breastfeed and how to maintain lactation if separated from baby136 No formula unless medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers1310 And out of hospital community support where does mother find help at 2am if she needs breastfeeding support and assistance13131313ABI is the only effort in Alaska address steps 1-10 with birthing center staff 1313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum13
Presenter
Presentation Notes
5 Who mothers how to breastfeed and how to maintain lactation if separated from baby136 No formula unless medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers1310 And out of hospital community support where does mother find help at 2am if she needs breastfeeding support and assistance1313ABI is the only effort in Alaska address steps 1-10 with birthing center staff 1313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum131313Ten steps ndashoverviewhelliplist all ten1313The ten steps to successful breastfeeding include 131 Hospital breastfeeding policies- that address all TEN STEPS 132 Staff education of breastfeeding best practices133 Pre an post partum breastfeeding education for mothers and families134 Help mothers breastfeed within the first birth hour vag 2 hours csect135 Show mothers how to breastfeed and how to maintain lactation if separated from baby136 formula only if medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day- infant procedures to occur in same room as mother138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers for 1st 48 hours1310 And out of hospital community support where does mother go at 2am if she needs breastfeeding support and assistance1313ABI is the only effort in Alaska address steps 1-7 with birthing center staff 1313How to improve rate 1313Research shows certain steps have strongest evidence 13The steps with most evidence will get more attention in my talk and in our program131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum13

Steps with most evidencemPINC results 2009-2015

13

16

79

74

85

19

39

90

89

93

24

57

62

70

90

All Ten Step policies

Community support

Show mothers how to feed

Prenatal education

Early contact and feeding

2015

2013

2009

Source CDC mPINC 200920132015

Presenter
Presentation Notes
This shows mPINC data from 2009 (before Alaska Breastfeeding Initiative kicked off in 2012)13132009 before ABI 132013 data collected during 2012 when ABI started itrsquos work on improving breast feeding outcomes through TEN STEPS132015 data collected during 2014 Akrsquos score (out of 100) remained the same No big leaps as seen from 2009-131313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 13

Alaska Breastfeeding Initiative

Presenter
Presentation Notes
httpspediatricsaappublicationsorgcontent1293e827fullcontent-block- AAP endorses TEN STEPS TO SUCCESSFUL BREASTFEEDING1313Hospital practices in the first hours and days after birth make the difference in whether and how long babies are breastfed Remember that is Step 4-9 13Step 4- help mothers initiate breastfeed asap (skin to skin)13Step 5- show mothers how to latch13Step 6- only breastmilk unless formula medically necessary13Step 7- Rooming in13Step 8- Breastfeeding on demand13Step 9 no pacifiers13 1313The International Code Marketing of Breastmilk Substitutes by offering education and educational material that promote human milk rather than other food and drinks and by refusing to accept or distribute free or subsidized supplies of breastmilk substitutes nipples and other feeding devices 1313of commercial discharge packs which contain samples of breastmilk substitutes adversely affects breastfeeding and there is no justification for giving them Second discontinuing the provision of formula in maternity facilities has been shown to be one of the most cost-effective health interventions known1313Hospital routines can help or hinder new mothers and babies while theyrsquore learning to breastfeed 131313CDCrsquos national survey of Maternity Practices in Infant Nutrition and Care (mPINC) is administered every two years to monitor and examine changes in practices over time at all hospitals and birth centers with registered maternity beds in the United States and Territories1313So our work will be officially evaluated by CDC in 2021 and results available 2022 1313But we are doing internal programmatic evaluations every year with the hospitals we have offered TEN STEP training 13We are offering technical assistance and sharing model TEN STEP POLICIES 13We recently helped Fairbanks write a grant to receive funds to concentrate specifically on the most evidenced steps I mentioned earlier STEP 3- prenatal and Step 10 community support 1313

1

image1png

Work on all strategies at once

Presenter
Presentation Notes
Our program WIC ABC many hospitals and ABI and partners are working on all 9 of CDC Guide to Strategies to Support Breastfeeding Mothers and Babies 1313That last one ldquoaddressing marketing of infant formulardquo is part of the 1313Strategy 9 is referred to you make hear it called the International Code of Marketing of Breast-milk Substitutes which means 13httpswwwcdcgovbreastfeedingpdfBF_guide_7pdf1313httpswwwcdcgovbreastfeedingpdfBF_guide_7pdf1313The International Code recommends 13No advertising of breast-milk substitutes directly to the public 13No free samples to mothers 13No promotion of products in health care facilities 13No commercial product representatives to advise mothers 13No gifts or personal samples to health workers 13No words or pictures idealizing artificial feeding including pictures of infants on the products 1313The International Code also states 13Information to health workers should be scientific and factual 13All information on artificial feeding including the labels should explain the benefits of breastfeeding and the costs and hazards associated with artificial feeding 13Unsuitable products such as condensed milk should not be promoted for babies 13All products should be of a high quality and take into account the climatic and storage conditions of the country where they are used 13131313

2019 Alaska Baby Friendly Hospitals

Over the Last 5 Years (2014-2019)

20 of all births will occur in baby friendly hospitalsbull Representing 55 of Alaska Natives

Source 2019 Alaska HAVRS (Number of births Alaska Native births)

Presenter
Presentation Notes
The baby friendly hospital initiative is a global program sponsored by the WHO and United Nations Childrens Fund (UNICEF) to encourage and recognize hospitals and birth centers that offer an optimal level of care for lactation based on the TEN STEPS to Successful Breastfeeding and the International Code of Marketing of Breast-milk substitutes1313Source Baby Friendly USA Baby Friendly Hospitals and Birth Centers designated as of June 2018 Available at httpwwwbabyfriendlyusaorg13 Baby Friendly USA reviewed policies and reviewed all criteria to get he designating as baby friendly Many hospitals implement the 10 steps without official baby friendly designation

How you can support breastfeeding

bull Prenatal breastfeeding education

bull Maternity centers show mothers how to breastfeed-early and often

bull Support after hospital discharge

Presenter
Presentation Notes
Remember the goal here is to concentrate on the steps that have the most evidence1313Ask for or help develop opportunities for prenatal breastfeeding education1313Maternity centers can show mothers how to breastfeed early and often Skin to skin without 30 minutes to 1 hour (vag) 30 min to 2 hours for c sect1313Support mothers and babies after discharge through peer support program breast feeding programs at early child education centers and support in workplace

Breastfeeding Improves Nutrition and is an Investment In Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to write down any questions you may have about Breast Feeding Initiative or breastfeeding in general while you listen to my friend and colleague Lori talk about how food service guidelines improve nutrition and is an investment in health

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Discuss lifespan of how we work with infants preschool school age and adults 13

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Dawn ldquoNow Irsquom going to let my friend and colleague Loti show you how food service guidelines improves nutrition and is an investment in health ldquo13____________________________________________________________________________________________________________________________________________________________________________13Lori Thank you Dawn for setting the stage 13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Donuts on the counterbull Chocolate or candy from your snack drawerbull Food from the vending machinebull Walk to the cafeteria or store for a healthy option

Itrsquos 3pm you worked through lunch and your belly is growling

Food Service Guidelines

Presenter
Presentation Notes
What we eat and drink impacts our health but we tend to eat whatrsquos readily available 1313Food Service Guidelines represent a voluntary set of best business practices that ensure safe healthy food options are available13The availability of healthy affordable foods contributes to a personrsquos diet and risk of diet-related chronic diseases13Fewer than 1 in 10 adults eat the recommended daily amount of fruits and vegetables1313What we eat and drink impacts our health but we tend to eat whatrsquos readily available 13The average American consuming more than one-third of their calories through foods prepared away from home organizations across Alaska and the country are realizing that the foods and beverages they offer at their work sites provide a significant opportunity to promote and improve employee health13Making healthier food and beverages available in public places lets families employees patients and children 13Eat healthy13Helps prevent weight gain and diseases like type 2 diabetes cancer and heart disease13

Food Service Guidelines

Goalsbull Healthier foods and

beverages bull Support local food

sourcing

Presenter
Presentation Notes
Healthier food and beverages available (cafeterias workplace coffee shops schools etc1313Local Food Sourcing includes farmers markets including at your work site mom and pop stores cars microgreens from Talkeetna that deliver to Anchorage seafood at farmers markets 1313Example Farm to table with our local farmers market in anchorage brought local chickens from homer to anchorage Previously available only sold to grocery stores and now available to direct consumers

Healthy Food Initiative

bull Established partnership with Alaska Native Tribal Health Consortium (ANTHC)bull Campus Healthy Food Project (CHeF)

bull Vending bull Coffee Cartsbull Cafeteriasbull Mini-Stores

Presenter
Presentation Notes
talk about ANTHC includes SCF and ANMC when the term campus is used give examples of food service facilities (vending coffee carts cafeterias mini-stores give counts for the campus talk about why this is a good location worksite lots of visitors of workers potentially impacted and visitor if you know those

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Presenter
Presentation Notes
I am going to walk through different examples of this wheel showing how Food Services Guidelines are developed and implemented For example understanding and knowing your leadership

Engage Stakeholders and Partners

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Community Support

Positive Responses ldquoThey taste greatrdquoldquoI like to feel energizedrdquo ldquoIt makes me feel more productive at workrdquo

bull Employees feel supportedbull Encouraged to take better

care of themselves bull Appreciate having healthy

options

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Food and Beverage Assessment

Examples include bull Fruit and Vegetablesbull Grainsbull Dairybull Beveragesbull Nutritional Labeling

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Update Food and Beverage Policy

bull Traditional Foods introduced into hospitals

bull Soda free Campus

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Review Purchasing and Agreement

Process for purchasing agreements

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Communication Strategies

Healthy Food Choices

Benefitsbull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancers

Source Dietary Guidelines for Americans 2015-2020 Eight Edition (pg 17)

Presenter
Presentation Notes
httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Fruit on the counterbull Nuts from your snack drawerbull Healthy Food from the vending machinebull Drive your car to the closest fast food joint

Itrsquos 3pm you worked through lunch and your belly is growling

Presenter
Presentation Notes
Making the healthy choice the easy choice

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to save any questions you may have while you listen to my friend and colleague Dawn talk about how active transportation improves physical activity and is an investment in health 13

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Active Transportation is a strategy to increase physical activity and works across the lifespan Think of strollering baby to a park walking child to day care school or the rest of us using active transportation to walk bike or bus to any destination we desire

Active Transportation Improves Physical Activity and is

an Investment in Health

Presenter
Presentation Notes
Imagine how much PA you would each tally if everyday you had a activity friendly route (safe route to walk your kids to school use transit carpool bike to meet friends at a restaurant grab groceries or arrive work Of course this would mean you would get more physical activity

Safer and Healthier Streets for EVERYONE

Active Transportation Initiative

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

2018 Physical Activity Guidelines

Adultsbull 150 minutes moderate

intensity per week

School-agebull 60 minutes or more every

day

Preschool bull Active throughout the day

httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf

Presenter
Presentation Notes
The Physical Activity Guidelines for Americans is issues by the US Dept of Health and Human Services The primary audience is policy makers and health professionals though it may also be interesting to members of the public The main ide behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits 1313Key Guidelines1313Adults should move more and sit less throughout the day Some physical activity is better than none 22 minutes or more every day combination of moderate and vigorous intensity with 2 or more days a week of muscle strengthening 1313School-age appropriate to age and enjoyable variety1313Preschool variety of active play throughout the day1313Source httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf1313So we know the guidelines for PA now13

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 2: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

Overview

bull Evidence based initiatives to improve nutrition and physical activity

bull Physical activity and nutrition standards recommendations and best practices

bull What is the problem

bull What are we doing

bull How you can help

The problem Too Many Alaska Adults have Obesity

24

32

2012 2013 2014 2015 2016 2017 2018

Source httpdhssalaskagovdphChronicDocumentsObesitypubs2017AlaskaObesityFactspdfource AK BRFSS

Presenter
Presentation Notes
13It has been estimated that Alaska spends $12 billion each year on the direct medical healthcare costs related to adult obesity alone4 This does not include the additional costs of lost productivity and other ldquoindirectrdquo costs of obesity 1313Mention increased cost of expensive diseases such as heart disease arthritis diabetes and cancers Diseases that are starting at younger ages Annually in Alaska frac12 a billion dollars in medical care cost related to obesity 1313These costs are only expected to increase based on increases in Medicaid coverage and healthcare costs in general as well as an expected rise in obesity prevalence1313Medical costs for obese people were almost $1500 (fifteen hundred dollars) higher than healthy weight people in 2006 dollars increasing health insurance premiums1313bullSource httpdhssalaskagovdphChronicDocumentsObesitypubs2017AlaskaObesityFactspdf13

Alaska is a one of only 16 states funded by CDC State Physical Activity

and Nutrition (SPAN) grant

httpswwwcdcgovnccdphpdnpaostate-local-programsspan-1807span-1807-recipientshtml

Presenter
Presentation Notes
this is an amazing opportunity our program has never had resources at this level to work on primary prevention of chronic disease before1313Grant funding prioritizes program efforts for families with low SES and Alaska Native1313httpswwwcdcgovnccdphpdnpaostate-local-programsspan-1807span-1807-recipientshtml13

Our work based on Evidence Based Public Health strategies

Presenter
Presentation Notes
These reports from CDC are strong evidence and each of these publications are packed with evidence rich strategies designed to improve nutrition and increase physical activity If we invest in these health strategies we are investing in health

Three Initiatives

1 BreastfeedingMake Breastfeeding easier to start and sustain

2 Food Service GuidelinesMake healthy food choices available everywhere

3 Active TransportationMake active transportation safe and accessible

Nutrition

Physical Activity

Investment in Health

Presenter
Presentation Notes
Help hospitals use evidence-based maternity care practices to support new mothers to start breastfeeding1313Improve healthy food options through procurement to include healthy food service guidelines in state agencies and community settings where food is offered served and sold1313Support active transportation and land use policies to make more activity-friendly routes to everyday destinations1313Improve standards that help prevent childhood obesity (breastfeeding healthy eating physical activity and limit screen time) within their existing ECE systems 1313

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Breastfeeding Improves Nutrition and is an Investment in Health

Source httpswwwcdcgovbrestfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Lori ldquoNow Irsquom going to let my friend and colleague Dawn show you how breastfeeding improves nutrition and is an investment in health ldquo13____________________________________________________________________________________________________________________________________________________________________________13Dawn Thank you Lori for setting the stage 1313Foreword from the Surgeon General US Department of Health and Human Services Regina M Benjamin MD MBA1313The Surgeon General says ldquo 13ldquoFor nearly all infants breastfeeding is the best source of infant nutrition and immunization protection and it provides remarkable health benefits to mothers as well Babies who are breastfed are less likely to become overweight and obese ldquo131313And yet within only three months after giving birth more than two-thirds of breastfeeding mothers have already begun using formula By six months postpartum more than half of mothers have given up on breastfeeding and mothers who breastfeed one-year-olds or toddlers are a rarity in our societyrdquo1313US Department of Health and Human Services The Surgeon Generalrsquos Call to Action to Support Breastfeeding Washington DC US Department of Health and Human Services Office of the Surgeon General 20111313

Alaska Breastfeeding Initiative

Presenter
Presentation Notes
Irsquom going to talk about Alaska Breastfeeding Initiative- and the evidence based strategies we are working on throughout Alaska 1313131313httpspediatricsaappublicationsorgcontent1293e827fullcontent-block- AAP endorses TEN STEPS TO SUCCESSFUL BREASTFEEDING1313Hospital practices in the first hours and days after birth make the difference in whether and how long babies are breastfed Remember that is Step 4-9 13Step 4- help mothers initiate breastfeed asap (skin to skin)13Step 5- show mothers how to latch13Step 6- only breastmilk unless formula medically necessary13Step 7- Rooming in13Step 8- Breastfeeding on demand13Step 9 no pacifiers13 1313The International Code Marketing of Breastmilk Substitutes by offering education and educational material that promote human milk rather than other food and drinks and by refusing to accept or distribute free or subsidized supplies of breastmilk substitutes nipples and other feeding devices 1313of commercial discharge packs which contain samples of breastmilk substitutes adversely affects breastfeeding and there is no justification for giving them Second discontinuing the provision of formula in maternity facilities has been shown to be one of the most cost-effective health interventions known1313Hospital routines can help or hinder new mothers and babies while theyrsquore learning to breastfeed 131313CDCrsquos national survey of Maternity Practices in Infant Nutrition and Care (mPINC) is administered every two years to monitor and examine changes in practices over time at all hospitals and birth centers with registered maternity beds in the United States and Territories1313So our work will be officially evaluated by CDC in 2021 and results available 2022 1313But we are doing internal programmatic evaluations every year with the hospitals we have offered TEN STEP training 13We are offering technical assistance and sharing model TEN STEP POLICIES 13We recently helped Fairbanks write a grant to receive funds to concentrate specifically on the most evidenced steps I mentioned earlier STEP 3- prenatal and Step 10 community support 1313

1

image1png

Benefits of Breastfeeding

bull Obesitybull Type 2 Diabetesbull Sudden infant death

syndromebull High blood pressurebull Certain cancers

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
BREASTFEEDING IS AN INVESTMENT IN HEALTH NOT JUST A LIFESTYLE DECISION 1313BENEFITS FOR INFANTS 13Infants who are breastfed have reduced risks of bull Asthma bull Obesity bull Type 1 diabetes bull Severe lower respiratory disease bull Acute otitis media (ear infections) bull Sudden infant death syndrome (SIDS) bull Gastrointestinal infections (diarrheavomiting) bull 1313BENEFITS FOR MOTHERS 13Breastfeeding can help lower a motherrsquos risk of bull High blood pressure bull Type 2 diabetes bull Ovarian cancer bull Breast cancer 131313Breastfeeding provides unmatched health benefits for babies and mothers It is the clinical gold standard for infant feeding and nutrition with breast milk uniquely tailored to meet the health needs of a growing baby We must do more to create supportive and safe environments for mothers who choose to breastfeed Dr Ruth Petersen Director of CDCrsquos Division of Nutrition Physical Activity and Obesity 1313Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

American Academy of Pediatrics (AAP)Recommendations

bull Exclusive breastfeeding for about 6 months

bull Introduce foods at about 6 months

bull Continued breastfeeding 12 months or longer

Source Pediatrics March 2012 129 (3) e827-e841 DOI httpsdoiorg101542peds2011-3552

Presenter
Presentation Notes
13Breastfeeding is a natural and beneficial source of nutrition and provides the healthiest start for an infant and promotes a unique and emotional connection between mother and baby 1313The AAP policy Breastfeeding and the Use of Human Milk is one of the most accessed policies available from the AAP because of its importance for the health of families here in the US and throughout the world1313In the policy statement Breastfeeding and the Use of Human Milk published in the March 2012 issue of Pediatrics (published online Feb 27) the American Academy of Pediatrics (AAP) reaffirmed its recommendation of exclusive breastfeeding for about the first six months of a babys life followed by breastfeeding in combination with the introduction of complementary foods until at least 12 months of age and continuation of breastfeeding for as long as mutually desired by mother and baby 131313Source Pediatrics March 2012 129 (3) e827-e841 DOI httpsdoiorg101542peds2011-3552 13Source httpswwwaaporgen-usabout-the-aapaap-press-roompagesaap-reaffirms-breastfeeding-guidelinesaspx131313

Letrsquos monitor how Alaska is doing

Presenter
Presentation Notes
Letrsquos monitor how Alaska is doing according to Mothers and Hospital reports

Alaska PRAMS

What mothers report

Presenter
Presentation Notes
13Two reports that use CDC PRAMS as a Data Source 13httpdhssalaskagovdphChronicDocumentsObesitypubs2019ChildhoodPAN_Factspdf131313PRAMS started as an initiative to reduce infant mortality and low birthweight Three states do not participate CA ID and OH just interesting I will not share 1313Surveys mailed to women CDC survey ~150month telephone calls attempted to women who do not respond by mail Survey of mothers health before during and after pregnancy 13Birth records available when baby minimum of 2 months and a maximum of 6 months13Women whose babies have died are still included letters specific for grieving mothers are mailed out in these situations 13When birth multiple one infant is randomly selected and pending adopts are included as long as biological mother is identified on birth record13Randomly samples approximately 16 of all live births in Alaska13Alaskarsquos population is ~ 73700013About 66 are white 15 Alaska NativeAmerican Indian13Alaska PRAMS eligible population is ~11000yr13About 65 are white 25 Alaska Native13We were the 7th state to join PRAMS (now 47)13Wersquove collected 30 years of data (since 1990)13

Breastfeeding initiation 2017

bull Initiation rate of 93 top in the country (US Avg 88)bull Disparities exist but we know mothers of all ages race and

income levels can be successful at breastfeeding

httpdhssalaskagovdphChronicDocumentsObesitypubs2019ChildhoodPAN_Factspdf

Presenter
Presentation Notes
the surgeon general goes on to say ldquoMany mothers in the United States want to breastfeed and most tryrdquo Remember this is Step 4 of Ten Steps ldquoHelp Mother Breastfeedrdquo

Any breastfeeding at 8 weeks 2016

Source Alaska PRAMS FPL = Federal Poverty Level Note US value is from 2015 and based on weighted mean of 35 participating PRAMS programs meeting required response rate threshold set by CDC Source 2015 Alaska PRAMS survey (Pregnancy

Risk Assessment Monitoring System)

bull 8-week rate of 83 far exceeds the US bull Mothers of all ages race and income levels can be successful

at breastfeeding

Presenter
Presentation Notes
the surgeon general goes on to say ldquoMany mothers in the United States want to breastfeed and most tryrdquo 131313 And yet within only three months after giving birth more than two-thirds of breastfeeding mothers have already begun using formula By six months postpartum more than half of mothers have given up on breastfeeding and mothers who breastfeed one-year-olds or toddlers are a rarity in our societyrdquo131313Could be related to Step 3 Prenatal education Step 5 Show mothers how to breastfeed and how to maintain lactation even if separated from baby Step 10 Community Support 1313quote I read earlier ldquomany mothers in the US want to breastfeed and most tryrdquo Alaska is much the same Alaskarsquos high breastfeeding initiation rates show that most mothers in the AK want to breastfeed and start out doing so1313Overall AK rates exceed US rates You can see Alaskarsquos 8-week breastfeeding rate of 83 far exceeds the US comparison at 661313Younger and older mothers can both be successful at breastfeeding 1313mothers of all races and income level can do well with breastfeeding 1313Women with limited economic means can achieve breastfeeding1313Mothers of all ages race and income levels can be successful with breastfeeding 1313Source Alaska PRAMS FPL = Federal Poverty Level Note US value is from 2015 and based on weighted mean of 35 participating PRAMS programs meeting required response rate threshold set by CDC 1313Source Alaska Maternal and Child Health Data Book 2018 PRAMS edition1313

Why do Alaska mothers report stop breastfeeding

before their babies are 8 weeks old

bull Return to work or schoolbull No timebull No placebull Too painfulbull Not enough milk

Source 2015 Alaska PRAMS survey (Pregnancy Risk Assessment Monitoring System)

Presenter
Presentation Notes
According to the httpdhssalaskagovdphwcfhDocumentsmchepipramsAlaska_Breastfeeding_Topic_Report_2012-2014pdf

Alaska PRAMS Reports

By 8 weeks post-partum 50 of the mothers who stopped breastfeeding reported doing so because they thought that they did not have enough milk

20

SourcehttpdhssalaskagovdphwcfhDocumentsmchepipramsAlaska_Breastfeeding_Topic_Report_2012-2014pdf

Presenter
Presentation Notes
Mothers reported stopping because they felt they did not have enough milk Remember when I mentioned that the steps with the most evidence The TENS STEPS can educate mothers about how to realize if babies are getting enough milk 131313This information is from the 2015 Alaska PRAMS survey (Pregnancy Risk Assessment Monitoring System)13PRAMS asks Alaskan mothers for information about breastfeeding about 3-4 months after delivery1313PRAM is Randomly samples approximately 16 of all live births in Alaska13Alaskarsquos population is ~ 73230013About 71 are white 17 Alaska Native13Alaska PRAMS eligible population is ~11000yr13About 65 are white 25 Alaska Native13We were the 7th state to join PRAMS (now 40)13Wersquove collected 25 years of data (since 1990)1313Monthly batch sampled from Bureau of Vital Statistics birth records13Teenage mothers are included13PRAMS data are linked to the birth certificate13Higher risk moms are oversampled13Primarily mail w phone follow-up132-6 months after birth13Allows for postpartum questions 132 months (8 weeks) is the maximum age where all respondents are eligible to answer1313131313Mothers need good educationinformation about breastfeeding and baby health and behaviors1313This point many potential factors13motherrsquos lack of knowledge of baby behaviorhelliphelliphelliphellipcrying is not early cue13Latch issues13Checking wet diapers poo13Checking babyrsquos weight1313Any IBCLCs here 1313If mothers and babies donrsquot breastfeeding after 8 weekshelliphelliphelliphelliphellip1313The ten steps address thishelliphelliphelliphelliptalk about how13

Hospitals report

Presenter
Presentation Notes
In October 2003 CDC convened an expert panel of researchers with specific experience in surveillance and monitoring of hospital practices related to breastfeeding At the time no system in the US collected nationally representative data on these practices The Expert Panelrsquos recommendation was to establish an ongoing national system to monitor and evaluate hospital practices related to breastfeeding among all facilities that routinely provide intrapartum care in the US1313In 2007 CDC administered the first national survey of maternity practices related to breastfeeding known as the mPINC survey It is administered every two years to every facility in the US that routinely provides maternity care services and is completed by a key informant on behalf of his or her institution in their capacity as the person most knowledgeable about the relevant practices13

Ten Steps to Successful Breastfeeding Evidence-Based

Presenter
Presentation Notes
Ten Steps to Successful Breastfeeding in both these documents as evidence based strategies to improve breastfeeding outcomes
Presenter
Presentation Notes
13Ten steps ndashoverviewhelliplist all ten1313The ten steps to successful breastfeeding include 131 Hospital breastfeeding policies- that address all TEN STEPS 132 Staff education of breastfeeding best practices and even a designated staff member responsible for lactation support133 Pre an post partum breastfeeding education134 Help mothers breastfeed within the first birth hour135 Who mothers how to breastfeed and how to maintain lactation if separated from baby136 No formula unless medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers1310 And out of hospital community support where does mother find help at 2am if she needs breastfeeding support and assistance13131313ABI is the only effort in Alaska address steps 1-10 with birthing center staff 1313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum13
Presenter
Presentation Notes
5 Who mothers how to breastfeed and how to maintain lactation if separated from baby136 No formula unless medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers1310 And out of hospital community support where does mother find help at 2am if she needs breastfeeding support and assistance1313ABI is the only effort in Alaska address steps 1-10 with birthing center staff 1313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum131313Ten steps ndashoverviewhelliplist all ten1313The ten steps to successful breastfeeding include 131 Hospital breastfeeding policies- that address all TEN STEPS 132 Staff education of breastfeeding best practices133 Pre an post partum breastfeeding education for mothers and families134 Help mothers breastfeed within the first birth hour vag 2 hours csect135 Show mothers how to breastfeed and how to maintain lactation if separated from baby136 formula only if medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day- infant procedures to occur in same room as mother138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers for 1st 48 hours1310 And out of hospital community support where does mother go at 2am if she needs breastfeeding support and assistance1313ABI is the only effort in Alaska address steps 1-7 with birthing center staff 1313How to improve rate 1313Research shows certain steps have strongest evidence 13The steps with most evidence will get more attention in my talk and in our program131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum13

Steps with most evidencemPINC results 2009-2015

13

16

79

74

85

19

39

90

89

93

24

57

62

70

90

All Ten Step policies

Community support

Show mothers how to feed

Prenatal education

Early contact and feeding

2015

2013

2009

Source CDC mPINC 200920132015

Presenter
Presentation Notes
This shows mPINC data from 2009 (before Alaska Breastfeeding Initiative kicked off in 2012)13132009 before ABI 132013 data collected during 2012 when ABI started itrsquos work on improving breast feeding outcomes through TEN STEPS132015 data collected during 2014 Akrsquos score (out of 100) remained the same No big leaps as seen from 2009-131313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 13

Alaska Breastfeeding Initiative

Presenter
Presentation Notes
httpspediatricsaappublicationsorgcontent1293e827fullcontent-block- AAP endorses TEN STEPS TO SUCCESSFUL BREASTFEEDING1313Hospital practices in the first hours and days after birth make the difference in whether and how long babies are breastfed Remember that is Step 4-9 13Step 4- help mothers initiate breastfeed asap (skin to skin)13Step 5- show mothers how to latch13Step 6- only breastmilk unless formula medically necessary13Step 7- Rooming in13Step 8- Breastfeeding on demand13Step 9 no pacifiers13 1313The International Code Marketing of Breastmilk Substitutes by offering education and educational material that promote human milk rather than other food and drinks and by refusing to accept or distribute free or subsidized supplies of breastmilk substitutes nipples and other feeding devices 1313of commercial discharge packs which contain samples of breastmilk substitutes adversely affects breastfeeding and there is no justification for giving them Second discontinuing the provision of formula in maternity facilities has been shown to be one of the most cost-effective health interventions known1313Hospital routines can help or hinder new mothers and babies while theyrsquore learning to breastfeed 131313CDCrsquos national survey of Maternity Practices in Infant Nutrition and Care (mPINC) is administered every two years to monitor and examine changes in practices over time at all hospitals and birth centers with registered maternity beds in the United States and Territories1313So our work will be officially evaluated by CDC in 2021 and results available 2022 1313But we are doing internal programmatic evaluations every year with the hospitals we have offered TEN STEP training 13We are offering technical assistance and sharing model TEN STEP POLICIES 13We recently helped Fairbanks write a grant to receive funds to concentrate specifically on the most evidenced steps I mentioned earlier STEP 3- prenatal and Step 10 community support 1313

1

image1png

Work on all strategies at once

Presenter
Presentation Notes
Our program WIC ABC many hospitals and ABI and partners are working on all 9 of CDC Guide to Strategies to Support Breastfeeding Mothers and Babies 1313That last one ldquoaddressing marketing of infant formulardquo is part of the 1313Strategy 9 is referred to you make hear it called the International Code of Marketing of Breast-milk Substitutes which means 13httpswwwcdcgovbreastfeedingpdfBF_guide_7pdf1313httpswwwcdcgovbreastfeedingpdfBF_guide_7pdf1313The International Code recommends 13No advertising of breast-milk substitutes directly to the public 13No free samples to mothers 13No promotion of products in health care facilities 13No commercial product representatives to advise mothers 13No gifts or personal samples to health workers 13No words or pictures idealizing artificial feeding including pictures of infants on the products 1313The International Code also states 13Information to health workers should be scientific and factual 13All information on artificial feeding including the labels should explain the benefits of breastfeeding and the costs and hazards associated with artificial feeding 13Unsuitable products such as condensed milk should not be promoted for babies 13All products should be of a high quality and take into account the climatic and storage conditions of the country where they are used 13131313

2019 Alaska Baby Friendly Hospitals

Over the Last 5 Years (2014-2019)

20 of all births will occur in baby friendly hospitalsbull Representing 55 of Alaska Natives

Source 2019 Alaska HAVRS (Number of births Alaska Native births)

Presenter
Presentation Notes
The baby friendly hospital initiative is a global program sponsored by the WHO and United Nations Childrens Fund (UNICEF) to encourage and recognize hospitals and birth centers that offer an optimal level of care for lactation based on the TEN STEPS to Successful Breastfeeding and the International Code of Marketing of Breast-milk substitutes1313Source Baby Friendly USA Baby Friendly Hospitals and Birth Centers designated as of June 2018 Available at httpwwwbabyfriendlyusaorg13 Baby Friendly USA reviewed policies and reviewed all criteria to get he designating as baby friendly Many hospitals implement the 10 steps without official baby friendly designation

How you can support breastfeeding

bull Prenatal breastfeeding education

bull Maternity centers show mothers how to breastfeed-early and often

bull Support after hospital discharge

Presenter
Presentation Notes
Remember the goal here is to concentrate on the steps that have the most evidence1313Ask for or help develop opportunities for prenatal breastfeeding education1313Maternity centers can show mothers how to breastfeed early and often Skin to skin without 30 minutes to 1 hour (vag) 30 min to 2 hours for c sect1313Support mothers and babies after discharge through peer support program breast feeding programs at early child education centers and support in workplace

Breastfeeding Improves Nutrition and is an Investment In Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to write down any questions you may have about Breast Feeding Initiative or breastfeeding in general while you listen to my friend and colleague Lori talk about how food service guidelines improve nutrition and is an investment in health

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Discuss lifespan of how we work with infants preschool school age and adults 13

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Dawn ldquoNow Irsquom going to let my friend and colleague Loti show you how food service guidelines improves nutrition and is an investment in health ldquo13____________________________________________________________________________________________________________________________________________________________________________13Lori Thank you Dawn for setting the stage 13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Donuts on the counterbull Chocolate or candy from your snack drawerbull Food from the vending machinebull Walk to the cafeteria or store for a healthy option

Itrsquos 3pm you worked through lunch and your belly is growling

Food Service Guidelines

Presenter
Presentation Notes
What we eat and drink impacts our health but we tend to eat whatrsquos readily available 1313Food Service Guidelines represent a voluntary set of best business practices that ensure safe healthy food options are available13The availability of healthy affordable foods contributes to a personrsquos diet and risk of diet-related chronic diseases13Fewer than 1 in 10 adults eat the recommended daily amount of fruits and vegetables1313What we eat and drink impacts our health but we tend to eat whatrsquos readily available 13The average American consuming more than one-third of their calories through foods prepared away from home organizations across Alaska and the country are realizing that the foods and beverages they offer at their work sites provide a significant opportunity to promote and improve employee health13Making healthier food and beverages available in public places lets families employees patients and children 13Eat healthy13Helps prevent weight gain and diseases like type 2 diabetes cancer and heart disease13

Food Service Guidelines

Goalsbull Healthier foods and

beverages bull Support local food

sourcing

Presenter
Presentation Notes
Healthier food and beverages available (cafeterias workplace coffee shops schools etc1313Local Food Sourcing includes farmers markets including at your work site mom and pop stores cars microgreens from Talkeetna that deliver to Anchorage seafood at farmers markets 1313Example Farm to table with our local farmers market in anchorage brought local chickens from homer to anchorage Previously available only sold to grocery stores and now available to direct consumers

Healthy Food Initiative

bull Established partnership with Alaska Native Tribal Health Consortium (ANTHC)bull Campus Healthy Food Project (CHeF)

bull Vending bull Coffee Cartsbull Cafeteriasbull Mini-Stores

Presenter
Presentation Notes
talk about ANTHC includes SCF and ANMC when the term campus is used give examples of food service facilities (vending coffee carts cafeterias mini-stores give counts for the campus talk about why this is a good location worksite lots of visitors of workers potentially impacted and visitor if you know those

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Presenter
Presentation Notes
I am going to walk through different examples of this wheel showing how Food Services Guidelines are developed and implemented For example understanding and knowing your leadership

Engage Stakeholders and Partners

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Community Support

Positive Responses ldquoThey taste greatrdquoldquoI like to feel energizedrdquo ldquoIt makes me feel more productive at workrdquo

bull Employees feel supportedbull Encouraged to take better

care of themselves bull Appreciate having healthy

options

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Food and Beverage Assessment

Examples include bull Fruit and Vegetablesbull Grainsbull Dairybull Beveragesbull Nutritional Labeling

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Update Food and Beverage Policy

bull Traditional Foods introduced into hospitals

bull Soda free Campus

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Review Purchasing and Agreement

Process for purchasing agreements

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Communication Strategies

Healthy Food Choices

Benefitsbull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancers

Source Dietary Guidelines for Americans 2015-2020 Eight Edition (pg 17)

Presenter
Presentation Notes
httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Fruit on the counterbull Nuts from your snack drawerbull Healthy Food from the vending machinebull Drive your car to the closest fast food joint

Itrsquos 3pm you worked through lunch and your belly is growling

Presenter
Presentation Notes
Making the healthy choice the easy choice

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to save any questions you may have while you listen to my friend and colleague Dawn talk about how active transportation improves physical activity and is an investment in health 13

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Active Transportation is a strategy to increase physical activity and works across the lifespan Think of strollering baby to a park walking child to day care school or the rest of us using active transportation to walk bike or bus to any destination we desire

Active Transportation Improves Physical Activity and is

an Investment in Health

Presenter
Presentation Notes
Imagine how much PA you would each tally if everyday you had a activity friendly route (safe route to walk your kids to school use transit carpool bike to meet friends at a restaurant grab groceries or arrive work Of course this would mean you would get more physical activity

Safer and Healthier Streets for EVERYONE

Active Transportation Initiative

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

2018 Physical Activity Guidelines

Adultsbull 150 minutes moderate

intensity per week

School-agebull 60 minutes or more every

day

Preschool bull Active throughout the day

httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf

Presenter
Presentation Notes
The Physical Activity Guidelines for Americans is issues by the US Dept of Health and Human Services The primary audience is policy makers and health professionals though it may also be interesting to members of the public The main ide behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits 1313Key Guidelines1313Adults should move more and sit less throughout the day Some physical activity is better than none 22 minutes or more every day combination of moderate and vigorous intensity with 2 or more days a week of muscle strengthening 1313School-age appropriate to age and enjoyable variety1313Preschool variety of active play throughout the day1313Source httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf1313So we know the guidelines for PA now13

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 3: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Overview

bull Evidence based initiatives to improve nutrition and physical activity

bull Physical activity and nutrition standards recommendations and best practices

bull What is the problem

bull What are we doing

bull How you can help

The problem Too Many Alaska Adults have Obesity

24

32

2012 2013 2014 2015 2016 2017 2018

Source httpdhssalaskagovdphChronicDocumentsObesitypubs2017AlaskaObesityFactspdfource AK BRFSS

Presenter
Presentation Notes
13It has been estimated that Alaska spends $12 billion each year on the direct medical healthcare costs related to adult obesity alone4 This does not include the additional costs of lost productivity and other ldquoindirectrdquo costs of obesity 1313Mention increased cost of expensive diseases such as heart disease arthritis diabetes and cancers Diseases that are starting at younger ages Annually in Alaska frac12 a billion dollars in medical care cost related to obesity 1313These costs are only expected to increase based on increases in Medicaid coverage and healthcare costs in general as well as an expected rise in obesity prevalence1313Medical costs for obese people were almost $1500 (fifteen hundred dollars) higher than healthy weight people in 2006 dollars increasing health insurance premiums1313bullSource httpdhssalaskagovdphChronicDocumentsObesitypubs2017AlaskaObesityFactspdf13

Alaska is a one of only 16 states funded by CDC State Physical Activity

and Nutrition (SPAN) grant

httpswwwcdcgovnccdphpdnpaostate-local-programsspan-1807span-1807-recipientshtml

Presenter
Presentation Notes
this is an amazing opportunity our program has never had resources at this level to work on primary prevention of chronic disease before1313Grant funding prioritizes program efforts for families with low SES and Alaska Native1313httpswwwcdcgovnccdphpdnpaostate-local-programsspan-1807span-1807-recipientshtml13

Our work based on Evidence Based Public Health strategies

Presenter
Presentation Notes
These reports from CDC are strong evidence and each of these publications are packed with evidence rich strategies designed to improve nutrition and increase physical activity If we invest in these health strategies we are investing in health

Three Initiatives

1 BreastfeedingMake Breastfeeding easier to start and sustain

2 Food Service GuidelinesMake healthy food choices available everywhere

3 Active TransportationMake active transportation safe and accessible

Nutrition

Physical Activity

Investment in Health

Presenter
Presentation Notes
Help hospitals use evidence-based maternity care practices to support new mothers to start breastfeeding1313Improve healthy food options through procurement to include healthy food service guidelines in state agencies and community settings where food is offered served and sold1313Support active transportation and land use policies to make more activity-friendly routes to everyday destinations1313Improve standards that help prevent childhood obesity (breastfeeding healthy eating physical activity and limit screen time) within their existing ECE systems 1313

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Breastfeeding Improves Nutrition and is an Investment in Health

Source httpswwwcdcgovbrestfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Lori ldquoNow Irsquom going to let my friend and colleague Dawn show you how breastfeeding improves nutrition and is an investment in health ldquo13____________________________________________________________________________________________________________________________________________________________________________13Dawn Thank you Lori for setting the stage 1313Foreword from the Surgeon General US Department of Health and Human Services Regina M Benjamin MD MBA1313The Surgeon General says ldquo 13ldquoFor nearly all infants breastfeeding is the best source of infant nutrition and immunization protection and it provides remarkable health benefits to mothers as well Babies who are breastfed are less likely to become overweight and obese ldquo131313And yet within only three months after giving birth more than two-thirds of breastfeeding mothers have already begun using formula By six months postpartum more than half of mothers have given up on breastfeeding and mothers who breastfeed one-year-olds or toddlers are a rarity in our societyrdquo1313US Department of Health and Human Services The Surgeon Generalrsquos Call to Action to Support Breastfeeding Washington DC US Department of Health and Human Services Office of the Surgeon General 20111313

Alaska Breastfeeding Initiative

Presenter
Presentation Notes
Irsquom going to talk about Alaska Breastfeeding Initiative- and the evidence based strategies we are working on throughout Alaska 1313131313httpspediatricsaappublicationsorgcontent1293e827fullcontent-block- AAP endorses TEN STEPS TO SUCCESSFUL BREASTFEEDING1313Hospital practices in the first hours and days after birth make the difference in whether and how long babies are breastfed Remember that is Step 4-9 13Step 4- help mothers initiate breastfeed asap (skin to skin)13Step 5- show mothers how to latch13Step 6- only breastmilk unless formula medically necessary13Step 7- Rooming in13Step 8- Breastfeeding on demand13Step 9 no pacifiers13 1313The International Code Marketing of Breastmilk Substitutes by offering education and educational material that promote human milk rather than other food and drinks and by refusing to accept or distribute free or subsidized supplies of breastmilk substitutes nipples and other feeding devices 1313of commercial discharge packs which contain samples of breastmilk substitutes adversely affects breastfeeding and there is no justification for giving them Second discontinuing the provision of formula in maternity facilities has been shown to be one of the most cost-effective health interventions known1313Hospital routines can help or hinder new mothers and babies while theyrsquore learning to breastfeed 131313CDCrsquos national survey of Maternity Practices in Infant Nutrition and Care (mPINC) is administered every two years to monitor and examine changes in practices over time at all hospitals and birth centers with registered maternity beds in the United States and Territories1313So our work will be officially evaluated by CDC in 2021 and results available 2022 1313But we are doing internal programmatic evaluations every year with the hospitals we have offered TEN STEP training 13We are offering technical assistance and sharing model TEN STEP POLICIES 13We recently helped Fairbanks write a grant to receive funds to concentrate specifically on the most evidenced steps I mentioned earlier STEP 3- prenatal and Step 10 community support 1313

1

image1png

Benefits of Breastfeeding

bull Obesitybull Type 2 Diabetesbull Sudden infant death

syndromebull High blood pressurebull Certain cancers

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
BREASTFEEDING IS AN INVESTMENT IN HEALTH NOT JUST A LIFESTYLE DECISION 1313BENEFITS FOR INFANTS 13Infants who are breastfed have reduced risks of bull Asthma bull Obesity bull Type 1 diabetes bull Severe lower respiratory disease bull Acute otitis media (ear infections) bull Sudden infant death syndrome (SIDS) bull Gastrointestinal infections (diarrheavomiting) bull 1313BENEFITS FOR MOTHERS 13Breastfeeding can help lower a motherrsquos risk of bull High blood pressure bull Type 2 diabetes bull Ovarian cancer bull Breast cancer 131313Breastfeeding provides unmatched health benefits for babies and mothers It is the clinical gold standard for infant feeding and nutrition with breast milk uniquely tailored to meet the health needs of a growing baby We must do more to create supportive and safe environments for mothers who choose to breastfeed Dr Ruth Petersen Director of CDCrsquos Division of Nutrition Physical Activity and Obesity 1313Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

American Academy of Pediatrics (AAP)Recommendations

bull Exclusive breastfeeding for about 6 months

bull Introduce foods at about 6 months

bull Continued breastfeeding 12 months or longer

Source Pediatrics March 2012 129 (3) e827-e841 DOI httpsdoiorg101542peds2011-3552

Presenter
Presentation Notes
13Breastfeeding is a natural and beneficial source of nutrition and provides the healthiest start for an infant and promotes a unique and emotional connection between mother and baby 1313The AAP policy Breastfeeding and the Use of Human Milk is one of the most accessed policies available from the AAP because of its importance for the health of families here in the US and throughout the world1313In the policy statement Breastfeeding and the Use of Human Milk published in the March 2012 issue of Pediatrics (published online Feb 27) the American Academy of Pediatrics (AAP) reaffirmed its recommendation of exclusive breastfeeding for about the first six months of a babys life followed by breastfeeding in combination with the introduction of complementary foods until at least 12 months of age and continuation of breastfeeding for as long as mutually desired by mother and baby 131313Source Pediatrics March 2012 129 (3) e827-e841 DOI httpsdoiorg101542peds2011-3552 13Source httpswwwaaporgen-usabout-the-aapaap-press-roompagesaap-reaffirms-breastfeeding-guidelinesaspx131313

Letrsquos monitor how Alaska is doing

Presenter
Presentation Notes
Letrsquos monitor how Alaska is doing according to Mothers and Hospital reports

Alaska PRAMS

What mothers report

Presenter
Presentation Notes
13Two reports that use CDC PRAMS as a Data Source 13httpdhssalaskagovdphChronicDocumentsObesitypubs2019ChildhoodPAN_Factspdf131313PRAMS started as an initiative to reduce infant mortality and low birthweight Three states do not participate CA ID and OH just interesting I will not share 1313Surveys mailed to women CDC survey ~150month telephone calls attempted to women who do not respond by mail Survey of mothers health before during and after pregnancy 13Birth records available when baby minimum of 2 months and a maximum of 6 months13Women whose babies have died are still included letters specific for grieving mothers are mailed out in these situations 13When birth multiple one infant is randomly selected and pending adopts are included as long as biological mother is identified on birth record13Randomly samples approximately 16 of all live births in Alaska13Alaskarsquos population is ~ 73700013About 66 are white 15 Alaska NativeAmerican Indian13Alaska PRAMS eligible population is ~11000yr13About 65 are white 25 Alaska Native13We were the 7th state to join PRAMS (now 47)13Wersquove collected 30 years of data (since 1990)13

Breastfeeding initiation 2017

bull Initiation rate of 93 top in the country (US Avg 88)bull Disparities exist but we know mothers of all ages race and

income levels can be successful at breastfeeding

httpdhssalaskagovdphChronicDocumentsObesitypubs2019ChildhoodPAN_Factspdf

Presenter
Presentation Notes
the surgeon general goes on to say ldquoMany mothers in the United States want to breastfeed and most tryrdquo Remember this is Step 4 of Ten Steps ldquoHelp Mother Breastfeedrdquo

Any breastfeeding at 8 weeks 2016

Source Alaska PRAMS FPL = Federal Poverty Level Note US value is from 2015 and based on weighted mean of 35 participating PRAMS programs meeting required response rate threshold set by CDC Source 2015 Alaska PRAMS survey (Pregnancy

Risk Assessment Monitoring System)

bull 8-week rate of 83 far exceeds the US bull Mothers of all ages race and income levels can be successful

at breastfeeding

Presenter
Presentation Notes
the surgeon general goes on to say ldquoMany mothers in the United States want to breastfeed and most tryrdquo 131313 And yet within only three months after giving birth more than two-thirds of breastfeeding mothers have already begun using formula By six months postpartum more than half of mothers have given up on breastfeeding and mothers who breastfeed one-year-olds or toddlers are a rarity in our societyrdquo131313Could be related to Step 3 Prenatal education Step 5 Show mothers how to breastfeed and how to maintain lactation even if separated from baby Step 10 Community Support 1313quote I read earlier ldquomany mothers in the US want to breastfeed and most tryrdquo Alaska is much the same Alaskarsquos high breastfeeding initiation rates show that most mothers in the AK want to breastfeed and start out doing so1313Overall AK rates exceed US rates You can see Alaskarsquos 8-week breastfeeding rate of 83 far exceeds the US comparison at 661313Younger and older mothers can both be successful at breastfeeding 1313mothers of all races and income level can do well with breastfeeding 1313Women with limited economic means can achieve breastfeeding1313Mothers of all ages race and income levels can be successful with breastfeeding 1313Source Alaska PRAMS FPL = Federal Poverty Level Note US value is from 2015 and based on weighted mean of 35 participating PRAMS programs meeting required response rate threshold set by CDC 1313Source Alaska Maternal and Child Health Data Book 2018 PRAMS edition1313

Why do Alaska mothers report stop breastfeeding

before their babies are 8 weeks old

bull Return to work or schoolbull No timebull No placebull Too painfulbull Not enough milk

Source 2015 Alaska PRAMS survey (Pregnancy Risk Assessment Monitoring System)

Presenter
Presentation Notes
According to the httpdhssalaskagovdphwcfhDocumentsmchepipramsAlaska_Breastfeeding_Topic_Report_2012-2014pdf

Alaska PRAMS Reports

By 8 weeks post-partum 50 of the mothers who stopped breastfeeding reported doing so because they thought that they did not have enough milk

20

SourcehttpdhssalaskagovdphwcfhDocumentsmchepipramsAlaska_Breastfeeding_Topic_Report_2012-2014pdf

Presenter
Presentation Notes
Mothers reported stopping because they felt they did not have enough milk Remember when I mentioned that the steps with the most evidence The TENS STEPS can educate mothers about how to realize if babies are getting enough milk 131313This information is from the 2015 Alaska PRAMS survey (Pregnancy Risk Assessment Monitoring System)13PRAMS asks Alaskan mothers for information about breastfeeding about 3-4 months after delivery1313PRAM is Randomly samples approximately 16 of all live births in Alaska13Alaskarsquos population is ~ 73230013About 71 are white 17 Alaska Native13Alaska PRAMS eligible population is ~11000yr13About 65 are white 25 Alaska Native13We were the 7th state to join PRAMS (now 40)13Wersquove collected 25 years of data (since 1990)1313Monthly batch sampled from Bureau of Vital Statistics birth records13Teenage mothers are included13PRAMS data are linked to the birth certificate13Higher risk moms are oversampled13Primarily mail w phone follow-up132-6 months after birth13Allows for postpartum questions 132 months (8 weeks) is the maximum age where all respondents are eligible to answer1313131313Mothers need good educationinformation about breastfeeding and baby health and behaviors1313This point many potential factors13motherrsquos lack of knowledge of baby behaviorhelliphelliphelliphellipcrying is not early cue13Latch issues13Checking wet diapers poo13Checking babyrsquos weight1313Any IBCLCs here 1313If mothers and babies donrsquot breastfeeding after 8 weekshelliphelliphelliphelliphellip1313The ten steps address thishelliphelliphelliphelliptalk about how13

Hospitals report

Presenter
Presentation Notes
In October 2003 CDC convened an expert panel of researchers with specific experience in surveillance and monitoring of hospital practices related to breastfeeding At the time no system in the US collected nationally representative data on these practices The Expert Panelrsquos recommendation was to establish an ongoing national system to monitor and evaluate hospital practices related to breastfeeding among all facilities that routinely provide intrapartum care in the US1313In 2007 CDC administered the first national survey of maternity practices related to breastfeeding known as the mPINC survey It is administered every two years to every facility in the US that routinely provides maternity care services and is completed by a key informant on behalf of his or her institution in their capacity as the person most knowledgeable about the relevant practices13

Ten Steps to Successful Breastfeeding Evidence-Based

Presenter
Presentation Notes
Ten Steps to Successful Breastfeeding in both these documents as evidence based strategies to improve breastfeeding outcomes
Presenter
Presentation Notes
13Ten steps ndashoverviewhelliplist all ten1313The ten steps to successful breastfeeding include 131 Hospital breastfeeding policies- that address all TEN STEPS 132 Staff education of breastfeeding best practices and even a designated staff member responsible for lactation support133 Pre an post partum breastfeeding education134 Help mothers breastfeed within the first birth hour135 Who mothers how to breastfeed and how to maintain lactation if separated from baby136 No formula unless medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers1310 And out of hospital community support where does mother find help at 2am if she needs breastfeeding support and assistance13131313ABI is the only effort in Alaska address steps 1-10 with birthing center staff 1313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum13
Presenter
Presentation Notes
5 Who mothers how to breastfeed and how to maintain lactation if separated from baby136 No formula unless medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers1310 And out of hospital community support where does mother find help at 2am if she needs breastfeeding support and assistance1313ABI is the only effort in Alaska address steps 1-10 with birthing center staff 1313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum131313Ten steps ndashoverviewhelliplist all ten1313The ten steps to successful breastfeeding include 131 Hospital breastfeeding policies- that address all TEN STEPS 132 Staff education of breastfeeding best practices133 Pre an post partum breastfeeding education for mothers and families134 Help mothers breastfeed within the first birth hour vag 2 hours csect135 Show mothers how to breastfeed and how to maintain lactation if separated from baby136 formula only if medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day- infant procedures to occur in same room as mother138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers for 1st 48 hours1310 And out of hospital community support where does mother go at 2am if she needs breastfeeding support and assistance1313ABI is the only effort in Alaska address steps 1-7 with birthing center staff 1313How to improve rate 1313Research shows certain steps have strongest evidence 13The steps with most evidence will get more attention in my talk and in our program131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum13

Steps with most evidencemPINC results 2009-2015

13

16

79

74

85

19

39

90

89

93

24

57

62

70

90

All Ten Step policies

Community support

Show mothers how to feed

Prenatal education

Early contact and feeding

2015

2013

2009

Source CDC mPINC 200920132015

Presenter
Presentation Notes
This shows mPINC data from 2009 (before Alaska Breastfeeding Initiative kicked off in 2012)13132009 before ABI 132013 data collected during 2012 when ABI started itrsquos work on improving breast feeding outcomes through TEN STEPS132015 data collected during 2014 Akrsquos score (out of 100) remained the same No big leaps as seen from 2009-131313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 13

Alaska Breastfeeding Initiative

Presenter
Presentation Notes
httpspediatricsaappublicationsorgcontent1293e827fullcontent-block- AAP endorses TEN STEPS TO SUCCESSFUL BREASTFEEDING1313Hospital practices in the first hours and days after birth make the difference in whether and how long babies are breastfed Remember that is Step 4-9 13Step 4- help mothers initiate breastfeed asap (skin to skin)13Step 5- show mothers how to latch13Step 6- only breastmilk unless formula medically necessary13Step 7- Rooming in13Step 8- Breastfeeding on demand13Step 9 no pacifiers13 1313The International Code Marketing of Breastmilk Substitutes by offering education and educational material that promote human milk rather than other food and drinks and by refusing to accept or distribute free or subsidized supplies of breastmilk substitutes nipples and other feeding devices 1313of commercial discharge packs which contain samples of breastmilk substitutes adversely affects breastfeeding and there is no justification for giving them Second discontinuing the provision of formula in maternity facilities has been shown to be one of the most cost-effective health interventions known1313Hospital routines can help or hinder new mothers and babies while theyrsquore learning to breastfeed 131313CDCrsquos national survey of Maternity Practices in Infant Nutrition and Care (mPINC) is administered every two years to monitor and examine changes in practices over time at all hospitals and birth centers with registered maternity beds in the United States and Territories1313So our work will be officially evaluated by CDC in 2021 and results available 2022 1313But we are doing internal programmatic evaluations every year with the hospitals we have offered TEN STEP training 13We are offering technical assistance and sharing model TEN STEP POLICIES 13We recently helped Fairbanks write a grant to receive funds to concentrate specifically on the most evidenced steps I mentioned earlier STEP 3- prenatal and Step 10 community support 1313

1

image1png

Work on all strategies at once

Presenter
Presentation Notes
Our program WIC ABC many hospitals and ABI and partners are working on all 9 of CDC Guide to Strategies to Support Breastfeeding Mothers and Babies 1313That last one ldquoaddressing marketing of infant formulardquo is part of the 1313Strategy 9 is referred to you make hear it called the International Code of Marketing of Breast-milk Substitutes which means 13httpswwwcdcgovbreastfeedingpdfBF_guide_7pdf1313httpswwwcdcgovbreastfeedingpdfBF_guide_7pdf1313The International Code recommends 13No advertising of breast-milk substitutes directly to the public 13No free samples to mothers 13No promotion of products in health care facilities 13No commercial product representatives to advise mothers 13No gifts or personal samples to health workers 13No words or pictures idealizing artificial feeding including pictures of infants on the products 1313The International Code also states 13Information to health workers should be scientific and factual 13All information on artificial feeding including the labels should explain the benefits of breastfeeding and the costs and hazards associated with artificial feeding 13Unsuitable products such as condensed milk should not be promoted for babies 13All products should be of a high quality and take into account the climatic and storage conditions of the country where they are used 13131313

2019 Alaska Baby Friendly Hospitals

Over the Last 5 Years (2014-2019)

20 of all births will occur in baby friendly hospitalsbull Representing 55 of Alaska Natives

Source 2019 Alaska HAVRS (Number of births Alaska Native births)

Presenter
Presentation Notes
The baby friendly hospital initiative is a global program sponsored by the WHO and United Nations Childrens Fund (UNICEF) to encourage and recognize hospitals and birth centers that offer an optimal level of care for lactation based on the TEN STEPS to Successful Breastfeeding and the International Code of Marketing of Breast-milk substitutes1313Source Baby Friendly USA Baby Friendly Hospitals and Birth Centers designated as of June 2018 Available at httpwwwbabyfriendlyusaorg13 Baby Friendly USA reviewed policies and reviewed all criteria to get he designating as baby friendly Many hospitals implement the 10 steps without official baby friendly designation

How you can support breastfeeding

bull Prenatal breastfeeding education

bull Maternity centers show mothers how to breastfeed-early and often

bull Support after hospital discharge

Presenter
Presentation Notes
Remember the goal here is to concentrate on the steps that have the most evidence1313Ask for or help develop opportunities for prenatal breastfeeding education1313Maternity centers can show mothers how to breastfeed early and often Skin to skin without 30 minutes to 1 hour (vag) 30 min to 2 hours for c sect1313Support mothers and babies after discharge through peer support program breast feeding programs at early child education centers and support in workplace

Breastfeeding Improves Nutrition and is an Investment In Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to write down any questions you may have about Breast Feeding Initiative or breastfeeding in general while you listen to my friend and colleague Lori talk about how food service guidelines improve nutrition and is an investment in health

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Discuss lifespan of how we work with infants preschool school age and adults 13

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Dawn ldquoNow Irsquom going to let my friend and colleague Loti show you how food service guidelines improves nutrition and is an investment in health ldquo13____________________________________________________________________________________________________________________________________________________________________________13Lori Thank you Dawn for setting the stage 13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Donuts on the counterbull Chocolate or candy from your snack drawerbull Food from the vending machinebull Walk to the cafeteria or store for a healthy option

Itrsquos 3pm you worked through lunch and your belly is growling

Food Service Guidelines

Presenter
Presentation Notes
What we eat and drink impacts our health but we tend to eat whatrsquos readily available 1313Food Service Guidelines represent a voluntary set of best business practices that ensure safe healthy food options are available13The availability of healthy affordable foods contributes to a personrsquos diet and risk of diet-related chronic diseases13Fewer than 1 in 10 adults eat the recommended daily amount of fruits and vegetables1313What we eat and drink impacts our health but we tend to eat whatrsquos readily available 13The average American consuming more than one-third of their calories through foods prepared away from home organizations across Alaska and the country are realizing that the foods and beverages they offer at their work sites provide a significant opportunity to promote and improve employee health13Making healthier food and beverages available in public places lets families employees patients and children 13Eat healthy13Helps prevent weight gain and diseases like type 2 diabetes cancer and heart disease13

Food Service Guidelines

Goalsbull Healthier foods and

beverages bull Support local food

sourcing

Presenter
Presentation Notes
Healthier food and beverages available (cafeterias workplace coffee shops schools etc1313Local Food Sourcing includes farmers markets including at your work site mom and pop stores cars microgreens from Talkeetna that deliver to Anchorage seafood at farmers markets 1313Example Farm to table with our local farmers market in anchorage brought local chickens from homer to anchorage Previously available only sold to grocery stores and now available to direct consumers

Healthy Food Initiative

bull Established partnership with Alaska Native Tribal Health Consortium (ANTHC)bull Campus Healthy Food Project (CHeF)

bull Vending bull Coffee Cartsbull Cafeteriasbull Mini-Stores

Presenter
Presentation Notes
talk about ANTHC includes SCF and ANMC when the term campus is used give examples of food service facilities (vending coffee carts cafeterias mini-stores give counts for the campus talk about why this is a good location worksite lots of visitors of workers potentially impacted and visitor if you know those

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Presenter
Presentation Notes
I am going to walk through different examples of this wheel showing how Food Services Guidelines are developed and implemented For example understanding and knowing your leadership

Engage Stakeholders and Partners

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Community Support

Positive Responses ldquoThey taste greatrdquoldquoI like to feel energizedrdquo ldquoIt makes me feel more productive at workrdquo

bull Employees feel supportedbull Encouraged to take better

care of themselves bull Appreciate having healthy

options

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Food and Beverage Assessment

Examples include bull Fruit and Vegetablesbull Grainsbull Dairybull Beveragesbull Nutritional Labeling

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Update Food and Beverage Policy

bull Traditional Foods introduced into hospitals

bull Soda free Campus

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Review Purchasing and Agreement

Process for purchasing agreements

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Communication Strategies

Healthy Food Choices

Benefitsbull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancers

Source Dietary Guidelines for Americans 2015-2020 Eight Edition (pg 17)

Presenter
Presentation Notes
httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Fruit on the counterbull Nuts from your snack drawerbull Healthy Food from the vending machinebull Drive your car to the closest fast food joint

Itrsquos 3pm you worked through lunch and your belly is growling

Presenter
Presentation Notes
Making the healthy choice the easy choice

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to save any questions you may have while you listen to my friend and colleague Dawn talk about how active transportation improves physical activity and is an investment in health 13

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Active Transportation is a strategy to increase physical activity and works across the lifespan Think of strollering baby to a park walking child to day care school or the rest of us using active transportation to walk bike or bus to any destination we desire

Active Transportation Improves Physical Activity and is

an Investment in Health

Presenter
Presentation Notes
Imagine how much PA you would each tally if everyday you had a activity friendly route (safe route to walk your kids to school use transit carpool bike to meet friends at a restaurant grab groceries or arrive work Of course this would mean you would get more physical activity

Safer and Healthier Streets for EVERYONE

Active Transportation Initiative

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

2018 Physical Activity Guidelines

Adultsbull 150 minutes moderate

intensity per week

School-agebull 60 minutes or more every

day

Preschool bull Active throughout the day

httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf

Presenter
Presentation Notes
The Physical Activity Guidelines for Americans is issues by the US Dept of Health and Human Services The primary audience is policy makers and health professionals though it may also be interesting to members of the public The main ide behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits 1313Key Guidelines1313Adults should move more and sit less throughout the day Some physical activity is better than none 22 minutes or more every day combination of moderate and vigorous intensity with 2 or more days a week of muscle strengthening 1313School-age appropriate to age and enjoyable variety1313Preschool variety of active play throughout the day1313Source httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf1313So we know the guidelines for PA now13

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 4: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

The problem Too Many Alaska Adults have Obesity

24

32

2012 2013 2014 2015 2016 2017 2018

Source httpdhssalaskagovdphChronicDocumentsObesitypubs2017AlaskaObesityFactspdfource AK BRFSS

Presenter
Presentation Notes
13It has been estimated that Alaska spends $12 billion each year on the direct medical healthcare costs related to adult obesity alone4 This does not include the additional costs of lost productivity and other ldquoindirectrdquo costs of obesity 1313Mention increased cost of expensive diseases such as heart disease arthritis diabetes and cancers Diseases that are starting at younger ages Annually in Alaska frac12 a billion dollars in medical care cost related to obesity 1313These costs are only expected to increase based on increases in Medicaid coverage and healthcare costs in general as well as an expected rise in obesity prevalence1313Medical costs for obese people were almost $1500 (fifteen hundred dollars) higher than healthy weight people in 2006 dollars increasing health insurance premiums1313bullSource httpdhssalaskagovdphChronicDocumentsObesitypubs2017AlaskaObesityFactspdf13

Alaska is a one of only 16 states funded by CDC State Physical Activity

and Nutrition (SPAN) grant

httpswwwcdcgovnccdphpdnpaostate-local-programsspan-1807span-1807-recipientshtml

Presenter
Presentation Notes
this is an amazing opportunity our program has never had resources at this level to work on primary prevention of chronic disease before1313Grant funding prioritizes program efforts for families with low SES and Alaska Native1313httpswwwcdcgovnccdphpdnpaostate-local-programsspan-1807span-1807-recipientshtml13

Our work based on Evidence Based Public Health strategies

Presenter
Presentation Notes
These reports from CDC are strong evidence and each of these publications are packed with evidence rich strategies designed to improve nutrition and increase physical activity If we invest in these health strategies we are investing in health

Three Initiatives

1 BreastfeedingMake Breastfeeding easier to start and sustain

2 Food Service GuidelinesMake healthy food choices available everywhere

3 Active TransportationMake active transportation safe and accessible

Nutrition

Physical Activity

Investment in Health

Presenter
Presentation Notes
Help hospitals use evidence-based maternity care practices to support new mothers to start breastfeeding1313Improve healthy food options through procurement to include healthy food service guidelines in state agencies and community settings where food is offered served and sold1313Support active transportation and land use policies to make more activity-friendly routes to everyday destinations1313Improve standards that help prevent childhood obesity (breastfeeding healthy eating physical activity and limit screen time) within their existing ECE systems 1313

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Breastfeeding Improves Nutrition and is an Investment in Health

Source httpswwwcdcgovbrestfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Lori ldquoNow Irsquom going to let my friend and colleague Dawn show you how breastfeeding improves nutrition and is an investment in health ldquo13____________________________________________________________________________________________________________________________________________________________________________13Dawn Thank you Lori for setting the stage 1313Foreword from the Surgeon General US Department of Health and Human Services Regina M Benjamin MD MBA1313The Surgeon General says ldquo 13ldquoFor nearly all infants breastfeeding is the best source of infant nutrition and immunization protection and it provides remarkable health benefits to mothers as well Babies who are breastfed are less likely to become overweight and obese ldquo131313And yet within only three months after giving birth more than two-thirds of breastfeeding mothers have already begun using formula By six months postpartum more than half of mothers have given up on breastfeeding and mothers who breastfeed one-year-olds or toddlers are a rarity in our societyrdquo1313US Department of Health and Human Services The Surgeon Generalrsquos Call to Action to Support Breastfeeding Washington DC US Department of Health and Human Services Office of the Surgeon General 20111313

Alaska Breastfeeding Initiative

Presenter
Presentation Notes
Irsquom going to talk about Alaska Breastfeeding Initiative- and the evidence based strategies we are working on throughout Alaska 1313131313httpspediatricsaappublicationsorgcontent1293e827fullcontent-block- AAP endorses TEN STEPS TO SUCCESSFUL BREASTFEEDING1313Hospital practices in the first hours and days after birth make the difference in whether and how long babies are breastfed Remember that is Step 4-9 13Step 4- help mothers initiate breastfeed asap (skin to skin)13Step 5- show mothers how to latch13Step 6- only breastmilk unless formula medically necessary13Step 7- Rooming in13Step 8- Breastfeeding on demand13Step 9 no pacifiers13 1313The International Code Marketing of Breastmilk Substitutes by offering education and educational material that promote human milk rather than other food and drinks and by refusing to accept or distribute free or subsidized supplies of breastmilk substitutes nipples and other feeding devices 1313of commercial discharge packs which contain samples of breastmilk substitutes adversely affects breastfeeding and there is no justification for giving them Second discontinuing the provision of formula in maternity facilities has been shown to be one of the most cost-effective health interventions known1313Hospital routines can help or hinder new mothers and babies while theyrsquore learning to breastfeed 131313CDCrsquos national survey of Maternity Practices in Infant Nutrition and Care (mPINC) is administered every two years to monitor and examine changes in practices over time at all hospitals and birth centers with registered maternity beds in the United States and Territories1313So our work will be officially evaluated by CDC in 2021 and results available 2022 1313But we are doing internal programmatic evaluations every year with the hospitals we have offered TEN STEP training 13We are offering technical assistance and sharing model TEN STEP POLICIES 13We recently helped Fairbanks write a grant to receive funds to concentrate specifically on the most evidenced steps I mentioned earlier STEP 3- prenatal and Step 10 community support 1313

1

image1png

Benefits of Breastfeeding

bull Obesitybull Type 2 Diabetesbull Sudden infant death

syndromebull High blood pressurebull Certain cancers

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
BREASTFEEDING IS AN INVESTMENT IN HEALTH NOT JUST A LIFESTYLE DECISION 1313BENEFITS FOR INFANTS 13Infants who are breastfed have reduced risks of bull Asthma bull Obesity bull Type 1 diabetes bull Severe lower respiratory disease bull Acute otitis media (ear infections) bull Sudden infant death syndrome (SIDS) bull Gastrointestinal infections (diarrheavomiting) bull 1313BENEFITS FOR MOTHERS 13Breastfeeding can help lower a motherrsquos risk of bull High blood pressure bull Type 2 diabetes bull Ovarian cancer bull Breast cancer 131313Breastfeeding provides unmatched health benefits for babies and mothers It is the clinical gold standard for infant feeding and nutrition with breast milk uniquely tailored to meet the health needs of a growing baby We must do more to create supportive and safe environments for mothers who choose to breastfeed Dr Ruth Petersen Director of CDCrsquos Division of Nutrition Physical Activity and Obesity 1313Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

American Academy of Pediatrics (AAP)Recommendations

bull Exclusive breastfeeding for about 6 months

bull Introduce foods at about 6 months

bull Continued breastfeeding 12 months or longer

Source Pediatrics March 2012 129 (3) e827-e841 DOI httpsdoiorg101542peds2011-3552

Presenter
Presentation Notes
13Breastfeeding is a natural and beneficial source of nutrition and provides the healthiest start for an infant and promotes a unique and emotional connection between mother and baby 1313The AAP policy Breastfeeding and the Use of Human Milk is one of the most accessed policies available from the AAP because of its importance for the health of families here in the US and throughout the world1313In the policy statement Breastfeeding and the Use of Human Milk published in the March 2012 issue of Pediatrics (published online Feb 27) the American Academy of Pediatrics (AAP) reaffirmed its recommendation of exclusive breastfeeding for about the first six months of a babys life followed by breastfeeding in combination with the introduction of complementary foods until at least 12 months of age and continuation of breastfeeding for as long as mutually desired by mother and baby 131313Source Pediatrics March 2012 129 (3) e827-e841 DOI httpsdoiorg101542peds2011-3552 13Source httpswwwaaporgen-usabout-the-aapaap-press-roompagesaap-reaffirms-breastfeeding-guidelinesaspx131313

Letrsquos monitor how Alaska is doing

Presenter
Presentation Notes
Letrsquos monitor how Alaska is doing according to Mothers and Hospital reports

Alaska PRAMS

What mothers report

Presenter
Presentation Notes
13Two reports that use CDC PRAMS as a Data Source 13httpdhssalaskagovdphChronicDocumentsObesitypubs2019ChildhoodPAN_Factspdf131313PRAMS started as an initiative to reduce infant mortality and low birthweight Three states do not participate CA ID and OH just interesting I will not share 1313Surveys mailed to women CDC survey ~150month telephone calls attempted to women who do not respond by mail Survey of mothers health before during and after pregnancy 13Birth records available when baby minimum of 2 months and a maximum of 6 months13Women whose babies have died are still included letters specific for grieving mothers are mailed out in these situations 13When birth multiple one infant is randomly selected and pending adopts are included as long as biological mother is identified on birth record13Randomly samples approximately 16 of all live births in Alaska13Alaskarsquos population is ~ 73700013About 66 are white 15 Alaska NativeAmerican Indian13Alaska PRAMS eligible population is ~11000yr13About 65 are white 25 Alaska Native13We were the 7th state to join PRAMS (now 47)13Wersquove collected 30 years of data (since 1990)13

Breastfeeding initiation 2017

bull Initiation rate of 93 top in the country (US Avg 88)bull Disparities exist but we know mothers of all ages race and

income levels can be successful at breastfeeding

httpdhssalaskagovdphChronicDocumentsObesitypubs2019ChildhoodPAN_Factspdf

Presenter
Presentation Notes
the surgeon general goes on to say ldquoMany mothers in the United States want to breastfeed and most tryrdquo Remember this is Step 4 of Ten Steps ldquoHelp Mother Breastfeedrdquo

Any breastfeeding at 8 weeks 2016

Source Alaska PRAMS FPL = Federal Poverty Level Note US value is from 2015 and based on weighted mean of 35 participating PRAMS programs meeting required response rate threshold set by CDC Source 2015 Alaska PRAMS survey (Pregnancy

Risk Assessment Monitoring System)

bull 8-week rate of 83 far exceeds the US bull Mothers of all ages race and income levels can be successful

at breastfeeding

Presenter
Presentation Notes
the surgeon general goes on to say ldquoMany mothers in the United States want to breastfeed and most tryrdquo 131313 And yet within only three months after giving birth more than two-thirds of breastfeeding mothers have already begun using formula By six months postpartum more than half of mothers have given up on breastfeeding and mothers who breastfeed one-year-olds or toddlers are a rarity in our societyrdquo131313Could be related to Step 3 Prenatal education Step 5 Show mothers how to breastfeed and how to maintain lactation even if separated from baby Step 10 Community Support 1313quote I read earlier ldquomany mothers in the US want to breastfeed and most tryrdquo Alaska is much the same Alaskarsquos high breastfeeding initiation rates show that most mothers in the AK want to breastfeed and start out doing so1313Overall AK rates exceed US rates You can see Alaskarsquos 8-week breastfeeding rate of 83 far exceeds the US comparison at 661313Younger and older mothers can both be successful at breastfeeding 1313mothers of all races and income level can do well with breastfeeding 1313Women with limited economic means can achieve breastfeeding1313Mothers of all ages race and income levels can be successful with breastfeeding 1313Source Alaska PRAMS FPL = Federal Poverty Level Note US value is from 2015 and based on weighted mean of 35 participating PRAMS programs meeting required response rate threshold set by CDC 1313Source Alaska Maternal and Child Health Data Book 2018 PRAMS edition1313

Why do Alaska mothers report stop breastfeeding

before their babies are 8 weeks old

bull Return to work or schoolbull No timebull No placebull Too painfulbull Not enough milk

Source 2015 Alaska PRAMS survey (Pregnancy Risk Assessment Monitoring System)

Presenter
Presentation Notes
According to the httpdhssalaskagovdphwcfhDocumentsmchepipramsAlaska_Breastfeeding_Topic_Report_2012-2014pdf

Alaska PRAMS Reports

By 8 weeks post-partum 50 of the mothers who stopped breastfeeding reported doing so because they thought that they did not have enough milk

20

SourcehttpdhssalaskagovdphwcfhDocumentsmchepipramsAlaska_Breastfeeding_Topic_Report_2012-2014pdf

Presenter
Presentation Notes
Mothers reported stopping because they felt they did not have enough milk Remember when I mentioned that the steps with the most evidence The TENS STEPS can educate mothers about how to realize if babies are getting enough milk 131313This information is from the 2015 Alaska PRAMS survey (Pregnancy Risk Assessment Monitoring System)13PRAMS asks Alaskan mothers for information about breastfeeding about 3-4 months after delivery1313PRAM is Randomly samples approximately 16 of all live births in Alaska13Alaskarsquos population is ~ 73230013About 71 are white 17 Alaska Native13Alaska PRAMS eligible population is ~11000yr13About 65 are white 25 Alaska Native13We were the 7th state to join PRAMS (now 40)13Wersquove collected 25 years of data (since 1990)1313Monthly batch sampled from Bureau of Vital Statistics birth records13Teenage mothers are included13PRAMS data are linked to the birth certificate13Higher risk moms are oversampled13Primarily mail w phone follow-up132-6 months after birth13Allows for postpartum questions 132 months (8 weeks) is the maximum age where all respondents are eligible to answer1313131313Mothers need good educationinformation about breastfeeding and baby health and behaviors1313This point many potential factors13motherrsquos lack of knowledge of baby behaviorhelliphelliphelliphellipcrying is not early cue13Latch issues13Checking wet diapers poo13Checking babyrsquos weight1313Any IBCLCs here 1313If mothers and babies donrsquot breastfeeding after 8 weekshelliphelliphelliphelliphellip1313The ten steps address thishelliphelliphelliphelliptalk about how13

Hospitals report

Presenter
Presentation Notes
In October 2003 CDC convened an expert panel of researchers with specific experience in surveillance and monitoring of hospital practices related to breastfeeding At the time no system in the US collected nationally representative data on these practices The Expert Panelrsquos recommendation was to establish an ongoing national system to monitor and evaluate hospital practices related to breastfeeding among all facilities that routinely provide intrapartum care in the US1313In 2007 CDC administered the first national survey of maternity practices related to breastfeeding known as the mPINC survey It is administered every two years to every facility in the US that routinely provides maternity care services and is completed by a key informant on behalf of his or her institution in their capacity as the person most knowledgeable about the relevant practices13

Ten Steps to Successful Breastfeeding Evidence-Based

Presenter
Presentation Notes
Ten Steps to Successful Breastfeeding in both these documents as evidence based strategies to improve breastfeeding outcomes
Presenter
Presentation Notes
13Ten steps ndashoverviewhelliplist all ten1313The ten steps to successful breastfeeding include 131 Hospital breastfeeding policies- that address all TEN STEPS 132 Staff education of breastfeeding best practices and even a designated staff member responsible for lactation support133 Pre an post partum breastfeeding education134 Help mothers breastfeed within the first birth hour135 Who mothers how to breastfeed and how to maintain lactation if separated from baby136 No formula unless medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers1310 And out of hospital community support where does mother find help at 2am if she needs breastfeeding support and assistance13131313ABI is the only effort in Alaska address steps 1-10 with birthing center staff 1313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum13
Presenter
Presentation Notes
5 Who mothers how to breastfeed and how to maintain lactation if separated from baby136 No formula unless medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers1310 And out of hospital community support where does mother find help at 2am if she needs breastfeeding support and assistance1313ABI is the only effort in Alaska address steps 1-10 with birthing center staff 1313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum131313Ten steps ndashoverviewhelliplist all ten1313The ten steps to successful breastfeeding include 131 Hospital breastfeeding policies- that address all TEN STEPS 132 Staff education of breastfeeding best practices133 Pre an post partum breastfeeding education for mothers and families134 Help mothers breastfeed within the first birth hour vag 2 hours csect135 Show mothers how to breastfeed and how to maintain lactation if separated from baby136 formula only if medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day- infant procedures to occur in same room as mother138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers for 1st 48 hours1310 And out of hospital community support where does mother go at 2am if she needs breastfeeding support and assistance1313ABI is the only effort in Alaska address steps 1-7 with birthing center staff 1313How to improve rate 1313Research shows certain steps have strongest evidence 13The steps with most evidence will get more attention in my talk and in our program131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum13

Steps with most evidencemPINC results 2009-2015

13

16

79

74

85

19

39

90

89

93

24

57

62

70

90

All Ten Step policies

Community support

Show mothers how to feed

Prenatal education

Early contact and feeding

2015

2013

2009

Source CDC mPINC 200920132015

Presenter
Presentation Notes
This shows mPINC data from 2009 (before Alaska Breastfeeding Initiative kicked off in 2012)13132009 before ABI 132013 data collected during 2012 when ABI started itrsquos work on improving breast feeding outcomes through TEN STEPS132015 data collected during 2014 Akrsquos score (out of 100) remained the same No big leaps as seen from 2009-131313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 13

Alaska Breastfeeding Initiative

Presenter
Presentation Notes
httpspediatricsaappublicationsorgcontent1293e827fullcontent-block- AAP endorses TEN STEPS TO SUCCESSFUL BREASTFEEDING1313Hospital practices in the first hours and days after birth make the difference in whether and how long babies are breastfed Remember that is Step 4-9 13Step 4- help mothers initiate breastfeed asap (skin to skin)13Step 5- show mothers how to latch13Step 6- only breastmilk unless formula medically necessary13Step 7- Rooming in13Step 8- Breastfeeding on demand13Step 9 no pacifiers13 1313The International Code Marketing of Breastmilk Substitutes by offering education and educational material that promote human milk rather than other food and drinks and by refusing to accept or distribute free or subsidized supplies of breastmilk substitutes nipples and other feeding devices 1313of commercial discharge packs which contain samples of breastmilk substitutes adversely affects breastfeeding and there is no justification for giving them Second discontinuing the provision of formula in maternity facilities has been shown to be one of the most cost-effective health interventions known1313Hospital routines can help or hinder new mothers and babies while theyrsquore learning to breastfeed 131313CDCrsquos national survey of Maternity Practices in Infant Nutrition and Care (mPINC) is administered every two years to monitor and examine changes in practices over time at all hospitals and birth centers with registered maternity beds in the United States and Territories1313So our work will be officially evaluated by CDC in 2021 and results available 2022 1313But we are doing internal programmatic evaluations every year with the hospitals we have offered TEN STEP training 13We are offering technical assistance and sharing model TEN STEP POLICIES 13We recently helped Fairbanks write a grant to receive funds to concentrate specifically on the most evidenced steps I mentioned earlier STEP 3- prenatal and Step 10 community support 1313

1

image1png

Work on all strategies at once

Presenter
Presentation Notes
Our program WIC ABC many hospitals and ABI and partners are working on all 9 of CDC Guide to Strategies to Support Breastfeeding Mothers and Babies 1313That last one ldquoaddressing marketing of infant formulardquo is part of the 1313Strategy 9 is referred to you make hear it called the International Code of Marketing of Breast-milk Substitutes which means 13httpswwwcdcgovbreastfeedingpdfBF_guide_7pdf1313httpswwwcdcgovbreastfeedingpdfBF_guide_7pdf1313The International Code recommends 13No advertising of breast-milk substitutes directly to the public 13No free samples to mothers 13No promotion of products in health care facilities 13No commercial product representatives to advise mothers 13No gifts or personal samples to health workers 13No words or pictures idealizing artificial feeding including pictures of infants on the products 1313The International Code also states 13Information to health workers should be scientific and factual 13All information on artificial feeding including the labels should explain the benefits of breastfeeding and the costs and hazards associated with artificial feeding 13Unsuitable products such as condensed milk should not be promoted for babies 13All products should be of a high quality and take into account the climatic and storage conditions of the country where they are used 13131313

2019 Alaska Baby Friendly Hospitals

Over the Last 5 Years (2014-2019)

20 of all births will occur in baby friendly hospitalsbull Representing 55 of Alaska Natives

Source 2019 Alaska HAVRS (Number of births Alaska Native births)

Presenter
Presentation Notes
The baby friendly hospital initiative is a global program sponsored by the WHO and United Nations Childrens Fund (UNICEF) to encourage and recognize hospitals and birth centers that offer an optimal level of care for lactation based on the TEN STEPS to Successful Breastfeeding and the International Code of Marketing of Breast-milk substitutes1313Source Baby Friendly USA Baby Friendly Hospitals and Birth Centers designated as of June 2018 Available at httpwwwbabyfriendlyusaorg13 Baby Friendly USA reviewed policies and reviewed all criteria to get he designating as baby friendly Many hospitals implement the 10 steps without official baby friendly designation

How you can support breastfeeding

bull Prenatal breastfeeding education

bull Maternity centers show mothers how to breastfeed-early and often

bull Support after hospital discharge

Presenter
Presentation Notes
Remember the goal here is to concentrate on the steps that have the most evidence1313Ask for or help develop opportunities for prenatal breastfeeding education1313Maternity centers can show mothers how to breastfeed early and often Skin to skin without 30 minutes to 1 hour (vag) 30 min to 2 hours for c sect1313Support mothers and babies after discharge through peer support program breast feeding programs at early child education centers and support in workplace

Breastfeeding Improves Nutrition and is an Investment In Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to write down any questions you may have about Breast Feeding Initiative or breastfeeding in general while you listen to my friend and colleague Lori talk about how food service guidelines improve nutrition and is an investment in health

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Discuss lifespan of how we work with infants preschool school age and adults 13

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Dawn ldquoNow Irsquom going to let my friend and colleague Loti show you how food service guidelines improves nutrition and is an investment in health ldquo13____________________________________________________________________________________________________________________________________________________________________________13Lori Thank you Dawn for setting the stage 13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Donuts on the counterbull Chocolate or candy from your snack drawerbull Food from the vending machinebull Walk to the cafeteria or store for a healthy option

Itrsquos 3pm you worked through lunch and your belly is growling

Food Service Guidelines

Presenter
Presentation Notes
What we eat and drink impacts our health but we tend to eat whatrsquos readily available 1313Food Service Guidelines represent a voluntary set of best business practices that ensure safe healthy food options are available13The availability of healthy affordable foods contributes to a personrsquos diet and risk of diet-related chronic diseases13Fewer than 1 in 10 adults eat the recommended daily amount of fruits and vegetables1313What we eat and drink impacts our health but we tend to eat whatrsquos readily available 13The average American consuming more than one-third of their calories through foods prepared away from home organizations across Alaska and the country are realizing that the foods and beverages they offer at their work sites provide a significant opportunity to promote and improve employee health13Making healthier food and beverages available in public places lets families employees patients and children 13Eat healthy13Helps prevent weight gain and diseases like type 2 diabetes cancer and heart disease13

Food Service Guidelines

Goalsbull Healthier foods and

beverages bull Support local food

sourcing

Presenter
Presentation Notes
Healthier food and beverages available (cafeterias workplace coffee shops schools etc1313Local Food Sourcing includes farmers markets including at your work site mom and pop stores cars microgreens from Talkeetna that deliver to Anchorage seafood at farmers markets 1313Example Farm to table with our local farmers market in anchorage brought local chickens from homer to anchorage Previously available only sold to grocery stores and now available to direct consumers

Healthy Food Initiative

bull Established partnership with Alaska Native Tribal Health Consortium (ANTHC)bull Campus Healthy Food Project (CHeF)

bull Vending bull Coffee Cartsbull Cafeteriasbull Mini-Stores

Presenter
Presentation Notes
talk about ANTHC includes SCF and ANMC when the term campus is used give examples of food service facilities (vending coffee carts cafeterias mini-stores give counts for the campus talk about why this is a good location worksite lots of visitors of workers potentially impacted and visitor if you know those

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Presenter
Presentation Notes
I am going to walk through different examples of this wheel showing how Food Services Guidelines are developed and implemented For example understanding and knowing your leadership

Engage Stakeholders and Partners

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Community Support

Positive Responses ldquoThey taste greatrdquoldquoI like to feel energizedrdquo ldquoIt makes me feel more productive at workrdquo

bull Employees feel supportedbull Encouraged to take better

care of themselves bull Appreciate having healthy

options

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Food and Beverage Assessment

Examples include bull Fruit and Vegetablesbull Grainsbull Dairybull Beveragesbull Nutritional Labeling

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Update Food and Beverage Policy

bull Traditional Foods introduced into hospitals

bull Soda free Campus

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Review Purchasing and Agreement

Process for purchasing agreements

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Communication Strategies

Healthy Food Choices

Benefitsbull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancers

Source Dietary Guidelines for Americans 2015-2020 Eight Edition (pg 17)

Presenter
Presentation Notes
httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Fruit on the counterbull Nuts from your snack drawerbull Healthy Food from the vending machinebull Drive your car to the closest fast food joint

Itrsquos 3pm you worked through lunch and your belly is growling

Presenter
Presentation Notes
Making the healthy choice the easy choice

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to save any questions you may have while you listen to my friend and colleague Dawn talk about how active transportation improves physical activity and is an investment in health 13

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Active Transportation is a strategy to increase physical activity and works across the lifespan Think of strollering baby to a park walking child to day care school or the rest of us using active transportation to walk bike or bus to any destination we desire

Active Transportation Improves Physical Activity and is

an Investment in Health

Presenter
Presentation Notes
Imagine how much PA you would each tally if everyday you had a activity friendly route (safe route to walk your kids to school use transit carpool bike to meet friends at a restaurant grab groceries or arrive work Of course this would mean you would get more physical activity

Safer and Healthier Streets for EVERYONE

Active Transportation Initiative

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

2018 Physical Activity Guidelines

Adultsbull 150 minutes moderate

intensity per week

School-agebull 60 minutes or more every

day

Preschool bull Active throughout the day

httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf

Presenter
Presentation Notes
The Physical Activity Guidelines for Americans is issues by the US Dept of Health and Human Services The primary audience is policy makers and health professionals though it may also be interesting to members of the public The main ide behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits 1313Key Guidelines1313Adults should move more and sit less throughout the day Some physical activity is better than none 22 minutes or more every day combination of moderate and vigorous intensity with 2 or more days a week of muscle strengthening 1313School-age appropriate to age and enjoyable variety1313Preschool variety of active play throughout the day1313Source httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf1313So we know the guidelines for PA now13

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 5: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Alaska is a one of only 16 states funded by CDC State Physical Activity

and Nutrition (SPAN) grant

httpswwwcdcgovnccdphpdnpaostate-local-programsspan-1807span-1807-recipientshtml

Presenter
Presentation Notes
this is an amazing opportunity our program has never had resources at this level to work on primary prevention of chronic disease before1313Grant funding prioritizes program efforts for families with low SES and Alaska Native1313httpswwwcdcgovnccdphpdnpaostate-local-programsspan-1807span-1807-recipientshtml13

Our work based on Evidence Based Public Health strategies

Presenter
Presentation Notes
These reports from CDC are strong evidence and each of these publications are packed with evidence rich strategies designed to improve nutrition and increase physical activity If we invest in these health strategies we are investing in health

Three Initiatives

1 BreastfeedingMake Breastfeeding easier to start and sustain

2 Food Service GuidelinesMake healthy food choices available everywhere

3 Active TransportationMake active transportation safe and accessible

Nutrition

Physical Activity

Investment in Health

Presenter
Presentation Notes
Help hospitals use evidence-based maternity care practices to support new mothers to start breastfeeding1313Improve healthy food options through procurement to include healthy food service guidelines in state agencies and community settings where food is offered served and sold1313Support active transportation and land use policies to make more activity-friendly routes to everyday destinations1313Improve standards that help prevent childhood obesity (breastfeeding healthy eating physical activity and limit screen time) within their existing ECE systems 1313

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Breastfeeding Improves Nutrition and is an Investment in Health

Source httpswwwcdcgovbrestfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Lori ldquoNow Irsquom going to let my friend and colleague Dawn show you how breastfeeding improves nutrition and is an investment in health ldquo13____________________________________________________________________________________________________________________________________________________________________________13Dawn Thank you Lori for setting the stage 1313Foreword from the Surgeon General US Department of Health and Human Services Regina M Benjamin MD MBA1313The Surgeon General says ldquo 13ldquoFor nearly all infants breastfeeding is the best source of infant nutrition and immunization protection and it provides remarkable health benefits to mothers as well Babies who are breastfed are less likely to become overweight and obese ldquo131313And yet within only three months after giving birth more than two-thirds of breastfeeding mothers have already begun using formula By six months postpartum more than half of mothers have given up on breastfeeding and mothers who breastfeed one-year-olds or toddlers are a rarity in our societyrdquo1313US Department of Health and Human Services The Surgeon Generalrsquos Call to Action to Support Breastfeeding Washington DC US Department of Health and Human Services Office of the Surgeon General 20111313

Alaska Breastfeeding Initiative

Presenter
Presentation Notes
Irsquom going to talk about Alaska Breastfeeding Initiative- and the evidence based strategies we are working on throughout Alaska 1313131313httpspediatricsaappublicationsorgcontent1293e827fullcontent-block- AAP endorses TEN STEPS TO SUCCESSFUL BREASTFEEDING1313Hospital practices in the first hours and days after birth make the difference in whether and how long babies are breastfed Remember that is Step 4-9 13Step 4- help mothers initiate breastfeed asap (skin to skin)13Step 5- show mothers how to latch13Step 6- only breastmilk unless formula medically necessary13Step 7- Rooming in13Step 8- Breastfeeding on demand13Step 9 no pacifiers13 1313The International Code Marketing of Breastmilk Substitutes by offering education and educational material that promote human milk rather than other food and drinks and by refusing to accept or distribute free or subsidized supplies of breastmilk substitutes nipples and other feeding devices 1313of commercial discharge packs which contain samples of breastmilk substitutes adversely affects breastfeeding and there is no justification for giving them Second discontinuing the provision of formula in maternity facilities has been shown to be one of the most cost-effective health interventions known1313Hospital routines can help or hinder new mothers and babies while theyrsquore learning to breastfeed 131313CDCrsquos national survey of Maternity Practices in Infant Nutrition and Care (mPINC) is administered every two years to monitor and examine changes in practices over time at all hospitals and birth centers with registered maternity beds in the United States and Territories1313So our work will be officially evaluated by CDC in 2021 and results available 2022 1313But we are doing internal programmatic evaluations every year with the hospitals we have offered TEN STEP training 13We are offering technical assistance and sharing model TEN STEP POLICIES 13We recently helped Fairbanks write a grant to receive funds to concentrate specifically on the most evidenced steps I mentioned earlier STEP 3- prenatal and Step 10 community support 1313

1

image1png

Benefits of Breastfeeding

bull Obesitybull Type 2 Diabetesbull Sudden infant death

syndromebull High blood pressurebull Certain cancers

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
BREASTFEEDING IS AN INVESTMENT IN HEALTH NOT JUST A LIFESTYLE DECISION 1313BENEFITS FOR INFANTS 13Infants who are breastfed have reduced risks of bull Asthma bull Obesity bull Type 1 diabetes bull Severe lower respiratory disease bull Acute otitis media (ear infections) bull Sudden infant death syndrome (SIDS) bull Gastrointestinal infections (diarrheavomiting) bull 1313BENEFITS FOR MOTHERS 13Breastfeeding can help lower a motherrsquos risk of bull High blood pressure bull Type 2 diabetes bull Ovarian cancer bull Breast cancer 131313Breastfeeding provides unmatched health benefits for babies and mothers It is the clinical gold standard for infant feeding and nutrition with breast milk uniquely tailored to meet the health needs of a growing baby We must do more to create supportive and safe environments for mothers who choose to breastfeed Dr Ruth Petersen Director of CDCrsquos Division of Nutrition Physical Activity and Obesity 1313Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

American Academy of Pediatrics (AAP)Recommendations

bull Exclusive breastfeeding for about 6 months

bull Introduce foods at about 6 months

bull Continued breastfeeding 12 months or longer

Source Pediatrics March 2012 129 (3) e827-e841 DOI httpsdoiorg101542peds2011-3552

Presenter
Presentation Notes
13Breastfeeding is a natural and beneficial source of nutrition and provides the healthiest start for an infant and promotes a unique and emotional connection between mother and baby 1313The AAP policy Breastfeeding and the Use of Human Milk is one of the most accessed policies available from the AAP because of its importance for the health of families here in the US and throughout the world1313In the policy statement Breastfeeding and the Use of Human Milk published in the March 2012 issue of Pediatrics (published online Feb 27) the American Academy of Pediatrics (AAP) reaffirmed its recommendation of exclusive breastfeeding for about the first six months of a babys life followed by breastfeeding in combination with the introduction of complementary foods until at least 12 months of age and continuation of breastfeeding for as long as mutually desired by mother and baby 131313Source Pediatrics March 2012 129 (3) e827-e841 DOI httpsdoiorg101542peds2011-3552 13Source httpswwwaaporgen-usabout-the-aapaap-press-roompagesaap-reaffirms-breastfeeding-guidelinesaspx131313

Letrsquos monitor how Alaska is doing

Presenter
Presentation Notes
Letrsquos monitor how Alaska is doing according to Mothers and Hospital reports

Alaska PRAMS

What mothers report

Presenter
Presentation Notes
13Two reports that use CDC PRAMS as a Data Source 13httpdhssalaskagovdphChronicDocumentsObesitypubs2019ChildhoodPAN_Factspdf131313PRAMS started as an initiative to reduce infant mortality and low birthweight Three states do not participate CA ID and OH just interesting I will not share 1313Surveys mailed to women CDC survey ~150month telephone calls attempted to women who do not respond by mail Survey of mothers health before during and after pregnancy 13Birth records available when baby minimum of 2 months and a maximum of 6 months13Women whose babies have died are still included letters specific for grieving mothers are mailed out in these situations 13When birth multiple one infant is randomly selected and pending adopts are included as long as biological mother is identified on birth record13Randomly samples approximately 16 of all live births in Alaska13Alaskarsquos population is ~ 73700013About 66 are white 15 Alaska NativeAmerican Indian13Alaska PRAMS eligible population is ~11000yr13About 65 are white 25 Alaska Native13We were the 7th state to join PRAMS (now 47)13Wersquove collected 30 years of data (since 1990)13

Breastfeeding initiation 2017

bull Initiation rate of 93 top in the country (US Avg 88)bull Disparities exist but we know mothers of all ages race and

income levels can be successful at breastfeeding

httpdhssalaskagovdphChronicDocumentsObesitypubs2019ChildhoodPAN_Factspdf

Presenter
Presentation Notes
the surgeon general goes on to say ldquoMany mothers in the United States want to breastfeed and most tryrdquo Remember this is Step 4 of Ten Steps ldquoHelp Mother Breastfeedrdquo

Any breastfeeding at 8 weeks 2016

Source Alaska PRAMS FPL = Federal Poverty Level Note US value is from 2015 and based on weighted mean of 35 participating PRAMS programs meeting required response rate threshold set by CDC Source 2015 Alaska PRAMS survey (Pregnancy

Risk Assessment Monitoring System)

bull 8-week rate of 83 far exceeds the US bull Mothers of all ages race and income levels can be successful

at breastfeeding

Presenter
Presentation Notes
the surgeon general goes on to say ldquoMany mothers in the United States want to breastfeed and most tryrdquo 131313 And yet within only three months after giving birth more than two-thirds of breastfeeding mothers have already begun using formula By six months postpartum more than half of mothers have given up on breastfeeding and mothers who breastfeed one-year-olds or toddlers are a rarity in our societyrdquo131313Could be related to Step 3 Prenatal education Step 5 Show mothers how to breastfeed and how to maintain lactation even if separated from baby Step 10 Community Support 1313quote I read earlier ldquomany mothers in the US want to breastfeed and most tryrdquo Alaska is much the same Alaskarsquos high breastfeeding initiation rates show that most mothers in the AK want to breastfeed and start out doing so1313Overall AK rates exceed US rates You can see Alaskarsquos 8-week breastfeeding rate of 83 far exceeds the US comparison at 661313Younger and older mothers can both be successful at breastfeeding 1313mothers of all races and income level can do well with breastfeeding 1313Women with limited economic means can achieve breastfeeding1313Mothers of all ages race and income levels can be successful with breastfeeding 1313Source Alaska PRAMS FPL = Federal Poverty Level Note US value is from 2015 and based on weighted mean of 35 participating PRAMS programs meeting required response rate threshold set by CDC 1313Source Alaska Maternal and Child Health Data Book 2018 PRAMS edition1313

Why do Alaska mothers report stop breastfeeding

before their babies are 8 weeks old

bull Return to work or schoolbull No timebull No placebull Too painfulbull Not enough milk

Source 2015 Alaska PRAMS survey (Pregnancy Risk Assessment Monitoring System)

Presenter
Presentation Notes
According to the httpdhssalaskagovdphwcfhDocumentsmchepipramsAlaska_Breastfeeding_Topic_Report_2012-2014pdf

Alaska PRAMS Reports

By 8 weeks post-partum 50 of the mothers who stopped breastfeeding reported doing so because they thought that they did not have enough milk

20

SourcehttpdhssalaskagovdphwcfhDocumentsmchepipramsAlaska_Breastfeeding_Topic_Report_2012-2014pdf

Presenter
Presentation Notes
Mothers reported stopping because they felt they did not have enough milk Remember when I mentioned that the steps with the most evidence The TENS STEPS can educate mothers about how to realize if babies are getting enough milk 131313This information is from the 2015 Alaska PRAMS survey (Pregnancy Risk Assessment Monitoring System)13PRAMS asks Alaskan mothers for information about breastfeeding about 3-4 months after delivery1313PRAM is Randomly samples approximately 16 of all live births in Alaska13Alaskarsquos population is ~ 73230013About 71 are white 17 Alaska Native13Alaska PRAMS eligible population is ~11000yr13About 65 are white 25 Alaska Native13We were the 7th state to join PRAMS (now 40)13Wersquove collected 25 years of data (since 1990)1313Monthly batch sampled from Bureau of Vital Statistics birth records13Teenage mothers are included13PRAMS data are linked to the birth certificate13Higher risk moms are oversampled13Primarily mail w phone follow-up132-6 months after birth13Allows for postpartum questions 132 months (8 weeks) is the maximum age where all respondents are eligible to answer1313131313Mothers need good educationinformation about breastfeeding and baby health and behaviors1313This point many potential factors13motherrsquos lack of knowledge of baby behaviorhelliphelliphelliphellipcrying is not early cue13Latch issues13Checking wet diapers poo13Checking babyrsquos weight1313Any IBCLCs here 1313If mothers and babies donrsquot breastfeeding after 8 weekshelliphelliphelliphelliphellip1313The ten steps address thishelliphelliphelliphelliptalk about how13

Hospitals report

Presenter
Presentation Notes
In October 2003 CDC convened an expert panel of researchers with specific experience in surveillance and monitoring of hospital practices related to breastfeeding At the time no system in the US collected nationally representative data on these practices The Expert Panelrsquos recommendation was to establish an ongoing national system to monitor and evaluate hospital practices related to breastfeeding among all facilities that routinely provide intrapartum care in the US1313In 2007 CDC administered the first national survey of maternity practices related to breastfeeding known as the mPINC survey It is administered every two years to every facility in the US that routinely provides maternity care services and is completed by a key informant on behalf of his or her institution in their capacity as the person most knowledgeable about the relevant practices13

Ten Steps to Successful Breastfeeding Evidence-Based

Presenter
Presentation Notes
Ten Steps to Successful Breastfeeding in both these documents as evidence based strategies to improve breastfeeding outcomes
Presenter
Presentation Notes
13Ten steps ndashoverviewhelliplist all ten1313The ten steps to successful breastfeeding include 131 Hospital breastfeeding policies- that address all TEN STEPS 132 Staff education of breastfeeding best practices and even a designated staff member responsible for lactation support133 Pre an post partum breastfeeding education134 Help mothers breastfeed within the first birth hour135 Who mothers how to breastfeed and how to maintain lactation if separated from baby136 No formula unless medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers1310 And out of hospital community support where does mother find help at 2am if she needs breastfeeding support and assistance13131313ABI is the only effort in Alaska address steps 1-10 with birthing center staff 1313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum13
Presenter
Presentation Notes
5 Who mothers how to breastfeed and how to maintain lactation if separated from baby136 No formula unless medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers1310 And out of hospital community support where does mother find help at 2am if she needs breastfeeding support and assistance1313ABI is the only effort in Alaska address steps 1-10 with birthing center staff 1313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum131313Ten steps ndashoverviewhelliplist all ten1313The ten steps to successful breastfeeding include 131 Hospital breastfeeding policies- that address all TEN STEPS 132 Staff education of breastfeeding best practices133 Pre an post partum breastfeeding education for mothers and families134 Help mothers breastfeed within the first birth hour vag 2 hours csect135 Show mothers how to breastfeed and how to maintain lactation if separated from baby136 formula only if medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day- infant procedures to occur in same room as mother138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers for 1st 48 hours1310 And out of hospital community support where does mother go at 2am if she needs breastfeeding support and assistance1313ABI is the only effort in Alaska address steps 1-7 with birthing center staff 1313How to improve rate 1313Research shows certain steps have strongest evidence 13The steps with most evidence will get more attention in my talk and in our program131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum13

Steps with most evidencemPINC results 2009-2015

13

16

79

74

85

19

39

90

89

93

24

57

62

70

90

All Ten Step policies

Community support

Show mothers how to feed

Prenatal education

Early contact and feeding

2015

2013

2009

Source CDC mPINC 200920132015

Presenter
Presentation Notes
This shows mPINC data from 2009 (before Alaska Breastfeeding Initiative kicked off in 2012)13132009 before ABI 132013 data collected during 2012 when ABI started itrsquos work on improving breast feeding outcomes through TEN STEPS132015 data collected during 2014 Akrsquos score (out of 100) remained the same No big leaps as seen from 2009-131313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 13

Alaska Breastfeeding Initiative

Presenter
Presentation Notes
httpspediatricsaappublicationsorgcontent1293e827fullcontent-block- AAP endorses TEN STEPS TO SUCCESSFUL BREASTFEEDING1313Hospital practices in the first hours and days after birth make the difference in whether and how long babies are breastfed Remember that is Step 4-9 13Step 4- help mothers initiate breastfeed asap (skin to skin)13Step 5- show mothers how to latch13Step 6- only breastmilk unless formula medically necessary13Step 7- Rooming in13Step 8- Breastfeeding on demand13Step 9 no pacifiers13 1313The International Code Marketing of Breastmilk Substitutes by offering education and educational material that promote human milk rather than other food and drinks and by refusing to accept or distribute free or subsidized supplies of breastmilk substitutes nipples and other feeding devices 1313of commercial discharge packs which contain samples of breastmilk substitutes adversely affects breastfeeding and there is no justification for giving them Second discontinuing the provision of formula in maternity facilities has been shown to be one of the most cost-effective health interventions known1313Hospital routines can help or hinder new mothers and babies while theyrsquore learning to breastfeed 131313CDCrsquos national survey of Maternity Practices in Infant Nutrition and Care (mPINC) is administered every two years to monitor and examine changes in practices over time at all hospitals and birth centers with registered maternity beds in the United States and Territories1313So our work will be officially evaluated by CDC in 2021 and results available 2022 1313But we are doing internal programmatic evaluations every year with the hospitals we have offered TEN STEP training 13We are offering technical assistance and sharing model TEN STEP POLICIES 13We recently helped Fairbanks write a grant to receive funds to concentrate specifically on the most evidenced steps I mentioned earlier STEP 3- prenatal and Step 10 community support 1313

1

image1png

Work on all strategies at once

Presenter
Presentation Notes
Our program WIC ABC many hospitals and ABI and partners are working on all 9 of CDC Guide to Strategies to Support Breastfeeding Mothers and Babies 1313That last one ldquoaddressing marketing of infant formulardquo is part of the 1313Strategy 9 is referred to you make hear it called the International Code of Marketing of Breast-milk Substitutes which means 13httpswwwcdcgovbreastfeedingpdfBF_guide_7pdf1313httpswwwcdcgovbreastfeedingpdfBF_guide_7pdf1313The International Code recommends 13No advertising of breast-milk substitutes directly to the public 13No free samples to mothers 13No promotion of products in health care facilities 13No commercial product representatives to advise mothers 13No gifts or personal samples to health workers 13No words or pictures idealizing artificial feeding including pictures of infants on the products 1313The International Code also states 13Information to health workers should be scientific and factual 13All information on artificial feeding including the labels should explain the benefits of breastfeeding and the costs and hazards associated with artificial feeding 13Unsuitable products such as condensed milk should not be promoted for babies 13All products should be of a high quality and take into account the climatic and storage conditions of the country where they are used 13131313

2019 Alaska Baby Friendly Hospitals

Over the Last 5 Years (2014-2019)

20 of all births will occur in baby friendly hospitalsbull Representing 55 of Alaska Natives

Source 2019 Alaska HAVRS (Number of births Alaska Native births)

Presenter
Presentation Notes
The baby friendly hospital initiative is a global program sponsored by the WHO and United Nations Childrens Fund (UNICEF) to encourage and recognize hospitals and birth centers that offer an optimal level of care for lactation based on the TEN STEPS to Successful Breastfeeding and the International Code of Marketing of Breast-milk substitutes1313Source Baby Friendly USA Baby Friendly Hospitals and Birth Centers designated as of June 2018 Available at httpwwwbabyfriendlyusaorg13 Baby Friendly USA reviewed policies and reviewed all criteria to get he designating as baby friendly Many hospitals implement the 10 steps without official baby friendly designation

How you can support breastfeeding

bull Prenatal breastfeeding education

bull Maternity centers show mothers how to breastfeed-early and often

bull Support after hospital discharge

Presenter
Presentation Notes
Remember the goal here is to concentrate on the steps that have the most evidence1313Ask for or help develop opportunities for prenatal breastfeeding education1313Maternity centers can show mothers how to breastfeed early and often Skin to skin without 30 minutes to 1 hour (vag) 30 min to 2 hours for c sect1313Support mothers and babies after discharge through peer support program breast feeding programs at early child education centers and support in workplace

Breastfeeding Improves Nutrition and is an Investment In Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to write down any questions you may have about Breast Feeding Initiative or breastfeeding in general while you listen to my friend and colleague Lori talk about how food service guidelines improve nutrition and is an investment in health

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Discuss lifespan of how we work with infants preschool school age and adults 13

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Dawn ldquoNow Irsquom going to let my friend and colleague Loti show you how food service guidelines improves nutrition and is an investment in health ldquo13____________________________________________________________________________________________________________________________________________________________________________13Lori Thank you Dawn for setting the stage 13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Donuts on the counterbull Chocolate or candy from your snack drawerbull Food from the vending machinebull Walk to the cafeteria or store for a healthy option

Itrsquos 3pm you worked through lunch and your belly is growling

Food Service Guidelines

Presenter
Presentation Notes
What we eat and drink impacts our health but we tend to eat whatrsquos readily available 1313Food Service Guidelines represent a voluntary set of best business practices that ensure safe healthy food options are available13The availability of healthy affordable foods contributes to a personrsquos diet and risk of diet-related chronic diseases13Fewer than 1 in 10 adults eat the recommended daily amount of fruits and vegetables1313What we eat and drink impacts our health but we tend to eat whatrsquos readily available 13The average American consuming more than one-third of their calories through foods prepared away from home organizations across Alaska and the country are realizing that the foods and beverages they offer at their work sites provide a significant opportunity to promote and improve employee health13Making healthier food and beverages available in public places lets families employees patients and children 13Eat healthy13Helps prevent weight gain and diseases like type 2 diabetes cancer and heart disease13

Food Service Guidelines

Goalsbull Healthier foods and

beverages bull Support local food

sourcing

Presenter
Presentation Notes
Healthier food and beverages available (cafeterias workplace coffee shops schools etc1313Local Food Sourcing includes farmers markets including at your work site mom and pop stores cars microgreens from Talkeetna that deliver to Anchorage seafood at farmers markets 1313Example Farm to table with our local farmers market in anchorage brought local chickens from homer to anchorage Previously available only sold to grocery stores and now available to direct consumers

Healthy Food Initiative

bull Established partnership with Alaska Native Tribal Health Consortium (ANTHC)bull Campus Healthy Food Project (CHeF)

bull Vending bull Coffee Cartsbull Cafeteriasbull Mini-Stores

Presenter
Presentation Notes
talk about ANTHC includes SCF and ANMC when the term campus is used give examples of food service facilities (vending coffee carts cafeterias mini-stores give counts for the campus talk about why this is a good location worksite lots of visitors of workers potentially impacted and visitor if you know those

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Presenter
Presentation Notes
I am going to walk through different examples of this wheel showing how Food Services Guidelines are developed and implemented For example understanding and knowing your leadership

Engage Stakeholders and Partners

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Community Support

Positive Responses ldquoThey taste greatrdquoldquoI like to feel energizedrdquo ldquoIt makes me feel more productive at workrdquo

bull Employees feel supportedbull Encouraged to take better

care of themselves bull Appreciate having healthy

options

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Food and Beverage Assessment

Examples include bull Fruit and Vegetablesbull Grainsbull Dairybull Beveragesbull Nutritional Labeling

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Update Food and Beverage Policy

bull Traditional Foods introduced into hospitals

bull Soda free Campus

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Review Purchasing and Agreement

Process for purchasing agreements

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Communication Strategies

Healthy Food Choices

Benefitsbull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancers

Source Dietary Guidelines for Americans 2015-2020 Eight Edition (pg 17)

Presenter
Presentation Notes
httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Fruit on the counterbull Nuts from your snack drawerbull Healthy Food from the vending machinebull Drive your car to the closest fast food joint

Itrsquos 3pm you worked through lunch and your belly is growling

Presenter
Presentation Notes
Making the healthy choice the easy choice

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to save any questions you may have while you listen to my friend and colleague Dawn talk about how active transportation improves physical activity and is an investment in health 13

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Active Transportation is a strategy to increase physical activity and works across the lifespan Think of strollering baby to a park walking child to day care school or the rest of us using active transportation to walk bike or bus to any destination we desire

Active Transportation Improves Physical Activity and is

an Investment in Health

Presenter
Presentation Notes
Imagine how much PA you would each tally if everyday you had a activity friendly route (safe route to walk your kids to school use transit carpool bike to meet friends at a restaurant grab groceries or arrive work Of course this would mean you would get more physical activity

Safer and Healthier Streets for EVERYONE

Active Transportation Initiative

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

2018 Physical Activity Guidelines

Adultsbull 150 minutes moderate

intensity per week

School-agebull 60 minutes or more every

day

Preschool bull Active throughout the day

httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf

Presenter
Presentation Notes
The Physical Activity Guidelines for Americans is issues by the US Dept of Health and Human Services The primary audience is policy makers and health professionals though it may also be interesting to members of the public The main ide behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits 1313Key Guidelines1313Adults should move more and sit less throughout the day Some physical activity is better than none 22 minutes or more every day combination of moderate and vigorous intensity with 2 or more days a week of muscle strengthening 1313School-age appropriate to age and enjoyable variety1313Preschool variety of active play throughout the day1313Source httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf1313So we know the guidelines for PA now13

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 6: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Our work based on Evidence Based Public Health strategies

Presenter
Presentation Notes
These reports from CDC are strong evidence and each of these publications are packed with evidence rich strategies designed to improve nutrition and increase physical activity If we invest in these health strategies we are investing in health

Three Initiatives

1 BreastfeedingMake Breastfeeding easier to start and sustain

2 Food Service GuidelinesMake healthy food choices available everywhere

3 Active TransportationMake active transportation safe and accessible

Nutrition

Physical Activity

Investment in Health

Presenter
Presentation Notes
Help hospitals use evidence-based maternity care practices to support new mothers to start breastfeeding1313Improve healthy food options through procurement to include healthy food service guidelines in state agencies and community settings where food is offered served and sold1313Support active transportation and land use policies to make more activity-friendly routes to everyday destinations1313Improve standards that help prevent childhood obesity (breastfeeding healthy eating physical activity and limit screen time) within their existing ECE systems 1313

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Breastfeeding Improves Nutrition and is an Investment in Health

Source httpswwwcdcgovbrestfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Lori ldquoNow Irsquom going to let my friend and colleague Dawn show you how breastfeeding improves nutrition and is an investment in health ldquo13____________________________________________________________________________________________________________________________________________________________________________13Dawn Thank you Lori for setting the stage 1313Foreword from the Surgeon General US Department of Health and Human Services Regina M Benjamin MD MBA1313The Surgeon General says ldquo 13ldquoFor nearly all infants breastfeeding is the best source of infant nutrition and immunization protection and it provides remarkable health benefits to mothers as well Babies who are breastfed are less likely to become overweight and obese ldquo131313And yet within only three months after giving birth more than two-thirds of breastfeeding mothers have already begun using formula By six months postpartum more than half of mothers have given up on breastfeeding and mothers who breastfeed one-year-olds or toddlers are a rarity in our societyrdquo1313US Department of Health and Human Services The Surgeon Generalrsquos Call to Action to Support Breastfeeding Washington DC US Department of Health and Human Services Office of the Surgeon General 20111313

Alaska Breastfeeding Initiative

Presenter
Presentation Notes
Irsquom going to talk about Alaska Breastfeeding Initiative- and the evidence based strategies we are working on throughout Alaska 1313131313httpspediatricsaappublicationsorgcontent1293e827fullcontent-block- AAP endorses TEN STEPS TO SUCCESSFUL BREASTFEEDING1313Hospital practices in the first hours and days after birth make the difference in whether and how long babies are breastfed Remember that is Step 4-9 13Step 4- help mothers initiate breastfeed asap (skin to skin)13Step 5- show mothers how to latch13Step 6- only breastmilk unless formula medically necessary13Step 7- Rooming in13Step 8- Breastfeeding on demand13Step 9 no pacifiers13 1313The International Code Marketing of Breastmilk Substitutes by offering education and educational material that promote human milk rather than other food and drinks and by refusing to accept or distribute free or subsidized supplies of breastmilk substitutes nipples and other feeding devices 1313of commercial discharge packs which contain samples of breastmilk substitutes adversely affects breastfeeding and there is no justification for giving them Second discontinuing the provision of formula in maternity facilities has been shown to be one of the most cost-effective health interventions known1313Hospital routines can help or hinder new mothers and babies while theyrsquore learning to breastfeed 131313CDCrsquos national survey of Maternity Practices in Infant Nutrition and Care (mPINC) is administered every two years to monitor and examine changes in practices over time at all hospitals and birth centers with registered maternity beds in the United States and Territories1313So our work will be officially evaluated by CDC in 2021 and results available 2022 1313But we are doing internal programmatic evaluations every year with the hospitals we have offered TEN STEP training 13We are offering technical assistance and sharing model TEN STEP POLICIES 13We recently helped Fairbanks write a grant to receive funds to concentrate specifically on the most evidenced steps I mentioned earlier STEP 3- prenatal and Step 10 community support 1313

1

image1png

Benefits of Breastfeeding

bull Obesitybull Type 2 Diabetesbull Sudden infant death

syndromebull High blood pressurebull Certain cancers

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
BREASTFEEDING IS AN INVESTMENT IN HEALTH NOT JUST A LIFESTYLE DECISION 1313BENEFITS FOR INFANTS 13Infants who are breastfed have reduced risks of bull Asthma bull Obesity bull Type 1 diabetes bull Severe lower respiratory disease bull Acute otitis media (ear infections) bull Sudden infant death syndrome (SIDS) bull Gastrointestinal infections (diarrheavomiting) bull 1313BENEFITS FOR MOTHERS 13Breastfeeding can help lower a motherrsquos risk of bull High blood pressure bull Type 2 diabetes bull Ovarian cancer bull Breast cancer 131313Breastfeeding provides unmatched health benefits for babies and mothers It is the clinical gold standard for infant feeding and nutrition with breast milk uniquely tailored to meet the health needs of a growing baby We must do more to create supportive and safe environments for mothers who choose to breastfeed Dr Ruth Petersen Director of CDCrsquos Division of Nutrition Physical Activity and Obesity 1313Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

American Academy of Pediatrics (AAP)Recommendations

bull Exclusive breastfeeding for about 6 months

bull Introduce foods at about 6 months

bull Continued breastfeeding 12 months or longer

Source Pediatrics March 2012 129 (3) e827-e841 DOI httpsdoiorg101542peds2011-3552

Presenter
Presentation Notes
13Breastfeeding is a natural and beneficial source of nutrition and provides the healthiest start for an infant and promotes a unique and emotional connection between mother and baby 1313The AAP policy Breastfeeding and the Use of Human Milk is one of the most accessed policies available from the AAP because of its importance for the health of families here in the US and throughout the world1313In the policy statement Breastfeeding and the Use of Human Milk published in the March 2012 issue of Pediatrics (published online Feb 27) the American Academy of Pediatrics (AAP) reaffirmed its recommendation of exclusive breastfeeding for about the first six months of a babys life followed by breastfeeding in combination with the introduction of complementary foods until at least 12 months of age and continuation of breastfeeding for as long as mutually desired by mother and baby 131313Source Pediatrics March 2012 129 (3) e827-e841 DOI httpsdoiorg101542peds2011-3552 13Source httpswwwaaporgen-usabout-the-aapaap-press-roompagesaap-reaffirms-breastfeeding-guidelinesaspx131313

Letrsquos monitor how Alaska is doing

Presenter
Presentation Notes
Letrsquos monitor how Alaska is doing according to Mothers and Hospital reports

Alaska PRAMS

What mothers report

Presenter
Presentation Notes
13Two reports that use CDC PRAMS as a Data Source 13httpdhssalaskagovdphChronicDocumentsObesitypubs2019ChildhoodPAN_Factspdf131313PRAMS started as an initiative to reduce infant mortality and low birthweight Three states do not participate CA ID and OH just interesting I will not share 1313Surveys mailed to women CDC survey ~150month telephone calls attempted to women who do not respond by mail Survey of mothers health before during and after pregnancy 13Birth records available when baby minimum of 2 months and a maximum of 6 months13Women whose babies have died are still included letters specific for grieving mothers are mailed out in these situations 13When birth multiple one infant is randomly selected and pending adopts are included as long as biological mother is identified on birth record13Randomly samples approximately 16 of all live births in Alaska13Alaskarsquos population is ~ 73700013About 66 are white 15 Alaska NativeAmerican Indian13Alaska PRAMS eligible population is ~11000yr13About 65 are white 25 Alaska Native13We were the 7th state to join PRAMS (now 47)13Wersquove collected 30 years of data (since 1990)13

Breastfeeding initiation 2017

bull Initiation rate of 93 top in the country (US Avg 88)bull Disparities exist but we know mothers of all ages race and

income levels can be successful at breastfeeding

httpdhssalaskagovdphChronicDocumentsObesitypubs2019ChildhoodPAN_Factspdf

Presenter
Presentation Notes
the surgeon general goes on to say ldquoMany mothers in the United States want to breastfeed and most tryrdquo Remember this is Step 4 of Ten Steps ldquoHelp Mother Breastfeedrdquo

Any breastfeeding at 8 weeks 2016

Source Alaska PRAMS FPL = Federal Poverty Level Note US value is from 2015 and based on weighted mean of 35 participating PRAMS programs meeting required response rate threshold set by CDC Source 2015 Alaska PRAMS survey (Pregnancy

Risk Assessment Monitoring System)

bull 8-week rate of 83 far exceeds the US bull Mothers of all ages race and income levels can be successful

at breastfeeding

Presenter
Presentation Notes
the surgeon general goes on to say ldquoMany mothers in the United States want to breastfeed and most tryrdquo 131313 And yet within only three months after giving birth more than two-thirds of breastfeeding mothers have already begun using formula By six months postpartum more than half of mothers have given up on breastfeeding and mothers who breastfeed one-year-olds or toddlers are a rarity in our societyrdquo131313Could be related to Step 3 Prenatal education Step 5 Show mothers how to breastfeed and how to maintain lactation even if separated from baby Step 10 Community Support 1313quote I read earlier ldquomany mothers in the US want to breastfeed and most tryrdquo Alaska is much the same Alaskarsquos high breastfeeding initiation rates show that most mothers in the AK want to breastfeed and start out doing so1313Overall AK rates exceed US rates You can see Alaskarsquos 8-week breastfeeding rate of 83 far exceeds the US comparison at 661313Younger and older mothers can both be successful at breastfeeding 1313mothers of all races and income level can do well with breastfeeding 1313Women with limited economic means can achieve breastfeeding1313Mothers of all ages race and income levels can be successful with breastfeeding 1313Source Alaska PRAMS FPL = Federal Poverty Level Note US value is from 2015 and based on weighted mean of 35 participating PRAMS programs meeting required response rate threshold set by CDC 1313Source Alaska Maternal and Child Health Data Book 2018 PRAMS edition1313

Why do Alaska mothers report stop breastfeeding

before their babies are 8 weeks old

bull Return to work or schoolbull No timebull No placebull Too painfulbull Not enough milk

Source 2015 Alaska PRAMS survey (Pregnancy Risk Assessment Monitoring System)

Presenter
Presentation Notes
According to the httpdhssalaskagovdphwcfhDocumentsmchepipramsAlaska_Breastfeeding_Topic_Report_2012-2014pdf

Alaska PRAMS Reports

By 8 weeks post-partum 50 of the mothers who stopped breastfeeding reported doing so because they thought that they did not have enough milk

20

SourcehttpdhssalaskagovdphwcfhDocumentsmchepipramsAlaska_Breastfeeding_Topic_Report_2012-2014pdf

Presenter
Presentation Notes
Mothers reported stopping because they felt they did not have enough milk Remember when I mentioned that the steps with the most evidence The TENS STEPS can educate mothers about how to realize if babies are getting enough milk 131313This information is from the 2015 Alaska PRAMS survey (Pregnancy Risk Assessment Monitoring System)13PRAMS asks Alaskan mothers for information about breastfeeding about 3-4 months after delivery1313PRAM is Randomly samples approximately 16 of all live births in Alaska13Alaskarsquos population is ~ 73230013About 71 are white 17 Alaska Native13Alaska PRAMS eligible population is ~11000yr13About 65 are white 25 Alaska Native13We were the 7th state to join PRAMS (now 40)13Wersquove collected 25 years of data (since 1990)1313Monthly batch sampled from Bureau of Vital Statistics birth records13Teenage mothers are included13PRAMS data are linked to the birth certificate13Higher risk moms are oversampled13Primarily mail w phone follow-up132-6 months after birth13Allows for postpartum questions 132 months (8 weeks) is the maximum age where all respondents are eligible to answer1313131313Mothers need good educationinformation about breastfeeding and baby health and behaviors1313This point many potential factors13motherrsquos lack of knowledge of baby behaviorhelliphelliphelliphellipcrying is not early cue13Latch issues13Checking wet diapers poo13Checking babyrsquos weight1313Any IBCLCs here 1313If mothers and babies donrsquot breastfeeding after 8 weekshelliphelliphelliphelliphellip1313The ten steps address thishelliphelliphelliphelliptalk about how13

Hospitals report

Presenter
Presentation Notes
In October 2003 CDC convened an expert panel of researchers with specific experience in surveillance and monitoring of hospital practices related to breastfeeding At the time no system in the US collected nationally representative data on these practices The Expert Panelrsquos recommendation was to establish an ongoing national system to monitor and evaluate hospital practices related to breastfeeding among all facilities that routinely provide intrapartum care in the US1313In 2007 CDC administered the first national survey of maternity practices related to breastfeeding known as the mPINC survey It is administered every two years to every facility in the US that routinely provides maternity care services and is completed by a key informant on behalf of his or her institution in their capacity as the person most knowledgeable about the relevant practices13

Ten Steps to Successful Breastfeeding Evidence-Based

Presenter
Presentation Notes
Ten Steps to Successful Breastfeeding in both these documents as evidence based strategies to improve breastfeeding outcomes
Presenter
Presentation Notes
13Ten steps ndashoverviewhelliplist all ten1313The ten steps to successful breastfeeding include 131 Hospital breastfeeding policies- that address all TEN STEPS 132 Staff education of breastfeeding best practices and even a designated staff member responsible for lactation support133 Pre an post partum breastfeeding education134 Help mothers breastfeed within the first birth hour135 Who mothers how to breastfeed and how to maintain lactation if separated from baby136 No formula unless medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers1310 And out of hospital community support where does mother find help at 2am if she needs breastfeeding support and assistance13131313ABI is the only effort in Alaska address steps 1-10 with birthing center staff 1313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum13
Presenter
Presentation Notes
5 Who mothers how to breastfeed and how to maintain lactation if separated from baby136 No formula unless medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers1310 And out of hospital community support where does mother find help at 2am if she needs breastfeeding support and assistance1313ABI is the only effort in Alaska address steps 1-10 with birthing center staff 1313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum131313Ten steps ndashoverviewhelliplist all ten1313The ten steps to successful breastfeeding include 131 Hospital breastfeeding policies- that address all TEN STEPS 132 Staff education of breastfeeding best practices133 Pre an post partum breastfeeding education for mothers and families134 Help mothers breastfeed within the first birth hour vag 2 hours csect135 Show mothers how to breastfeed and how to maintain lactation if separated from baby136 formula only if medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day- infant procedures to occur in same room as mother138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers for 1st 48 hours1310 And out of hospital community support where does mother go at 2am if she needs breastfeeding support and assistance1313ABI is the only effort in Alaska address steps 1-7 with birthing center staff 1313How to improve rate 1313Research shows certain steps have strongest evidence 13The steps with most evidence will get more attention in my talk and in our program131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum13

Steps with most evidencemPINC results 2009-2015

13

16

79

74

85

19

39

90

89

93

24

57

62

70

90

All Ten Step policies

Community support

Show mothers how to feed

Prenatal education

Early contact and feeding

2015

2013

2009

Source CDC mPINC 200920132015

Presenter
Presentation Notes
This shows mPINC data from 2009 (before Alaska Breastfeeding Initiative kicked off in 2012)13132009 before ABI 132013 data collected during 2012 when ABI started itrsquos work on improving breast feeding outcomes through TEN STEPS132015 data collected during 2014 Akrsquos score (out of 100) remained the same No big leaps as seen from 2009-131313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 13

Alaska Breastfeeding Initiative

Presenter
Presentation Notes
httpspediatricsaappublicationsorgcontent1293e827fullcontent-block- AAP endorses TEN STEPS TO SUCCESSFUL BREASTFEEDING1313Hospital practices in the first hours and days after birth make the difference in whether and how long babies are breastfed Remember that is Step 4-9 13Step 4- help mothers initiate breastfeed asap (skin to skin)13Step 5- show mothers how to latch13Step 6- only breastmilk unless formula medically necessary13Step 7- Rooming in13Step 8- Breastfeeding on demand13Step 9 no pacifiers13 1313The International Code Marketing of Breastmilk Substitutes by offering education and educational material that promote human milk rather than other food and drinks and by refusing to accept or distribute free or subsidized supplies of breastmilk substitutes nipples and other feeding devices 1313of commercial discharge packs which contain samples of breastmilk substitutes adversely affects breastfeeding and there is no justification for giving them Second discontinuing the provision of formula in maternity facilities has been shown to be one of the most cost-effective health interventions known1313Hospital routines can help or hinder new mothers and babies while theyrsquore learning to breastfeed 131313CDCrsquos national survey of Maternity Practices in Infant Nutrition and Care (mPINC) is administered every two years to monitor and examine changes in practices over time at all hospitals and birth centers with registered maternity beds in the United States and Territories1313So our work will be officially evaluated by CDC in 2021 and results available 2022 1313But we are doing internal programmatic evaluations every year with the hospitals we have offered TEN STEP training 13We are offering technical assistance and sharing model TEN STEP POLICIES 13We recently helped Fairbanks write a grant to receive funds to concentrate specifically on the most evidenced steps I mentioned earlier STEP 3- prenatal and Step 10 community support 1313

1

image1png

Work on all strategies at once

Presenter
Presentation Notes
Our program WIC ABC many hospitals and ABI and partners are working on all 9 of CDC Guide to Strategies to Support Breastfeeding Mothers and Babies 1313That last one ldquoaddressing marketing of infant formulardquo is part of the 1313Strategy 9 is referred to you make hear it called the International Code of Marketing of Breast-milk Substitutes which means 13httpswwwcdcgovbreastfeedingpdfBF_guide_7pdf1313httpswwwcdcgovbreastfeedingpdfBF_guide_7pdf1313The International Code recommends 13No advertising of breast-milk substitutes directly to the public 13No free samples to mothers 13No promotion of products in health care facilities 13No commercial product representatives to advise mothers 13No gifts or personal samples to health workers 13No words or pictures idealizing artificial feeding including pictures of infants on the products 1313The International Code also states 13Information to health workers should be scientific and factual 13All information on artificial feeding including the labels should explain the benefits of breastfeeding and the costs and hazards associated with artificial feeding 13Unsuitable products such as condensed milk should not be promoted for babies 13All products should be of a high quality and take into account the climatic and storage conditions of the country where they are used 13131313

2019 Alaska Baby Friendly Hospitals

Over the Last 5 Years (2014-2019)

20 of all births will occur in baby friendly hospitalsbull Representing 55 of Alaska Natives

Source 2019 Alaska HAVRS (Number of births Alaska Native births)

Presenter
Presentation Notes
The baby friendly hospital initiative is a global program sponsored by the WHO and United Nations Childrens Fund (UNICEF) to encourage and recognize hospitals and birth centers that offer an optimal level of care for lactation based on the TEN STEPS to Successful Breastfeeding and the International Code of Marketing of Breast-milk substitutes1313Source Baby Friendly USA Baby Friendly Hospitals and Birth Centers designated as of June 2018 Available at httpwwwbabyfriendlyusaorg13 Baby Friendly USA reviewed policies and reviewed all criteria to get he designating as baby friendly Many hospitals implement the 10 steps without official baby friendly designation

How you can support breastfeeding

bull Prenatal breastfeeding education

bull Maternity centers show mothers how to breastfeed-early and often

bull Support after hospital discharge

Presenter
Presentation Notes
Remember the goal here is to concentrate on the steps that have the most evidence1313Ask for or help develop opportunities for prenatal breastfeeding education1313Maternity centers can show mothers how to breastfeed early and often Skin to skin without 30 minutes to 1 hour (vag) 30 min to 2 hours for c sect1313Support mothers and babies after discharge through peer support program breast feeding programs at early child education centers and support in workplace

Breastfeeding Improves Nutrition and is an Investment In Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to write down any questions you may have about Breast Feeding Initiative or breastfeeding in general while you listen to my friend and colleague Lori talk about how food service guidelines improve nutrition and is an investment in health

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Discuss lifespan of how we work with infants preschool school age and adults 13

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Dawn ldquoNow Irsquom going to let my friend and colleague Loti show you how food service guidelines improves nutrition and is an investment in health ldquo13____________________________________________________________________________________________________________________________________________________________________________13Lori Thank you Dawn for setting the stage 13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Donuts on the counterbull Chocolate or candy from your snack drawerbull Food from the vending machinebull Walk to the cafeteria or store for a healthy option

Itrsquos 3pm you worked through lunch and your belly is growling

Food Service Guidelines

Presenter
Presentation Notes
What we eat and drink impacts our health but we tend to eat whatrsquos readily available 1313Food Service Guidelines represent a voluntary set of best business practices that ensure safe healthy food options are available13The availability of healthy affordable foods contributes to a personrsquos diet and risk of diet-related chronic diseases13Fewer than 1 in 10 adults eat the recommended daily amount of fruits and vegetables1313What we eat and drink impacts our health but we tend to eat whatrsquos readily available 13The average American consuming more than one-third of their calories through foods prepared away from home organizations across Alaska and the country are realizing that the foods and beverages they offer at their work sites provide a significant opportunity to promote and improve employee health13Making healthier food and beverages available in public places lets families employees patients and children 13Eat healthy13Helps prevent weight gain and diseases like type 2 diabetes cancer and heart disease13

Food Service Guidelines

Goalsbull Healthier foods and

beverages bull Support local food

sourcing

Presenter
Presentation Notes
Healthier food and beverages available (cafeterias workplace coffee shops schools etc1313Local Food Sourcing includes farmers markets including at your work site mom and pop stores cars microgreens from Talkeetna that deliver to Anchorage seafood at farmers markets 1313Example Farm to table with our local farmers market in anchorage brought local chickens from homer to anchorage Previously available only sold to grocery stores and now available to direct consumers

Healthy Food Initiative

bull Established partnership with Alaska Native Tribal Health Consortium (ANTHC)bull Campus Healthy Food Project (CHeF)

bull Vending bull Coffee Cartsbull Cafeteriasbull Mini-Stores

Presenter
Presentation Notes
talk about ANTHC includes SCF and ANMC when the term campus is used give examples of food service facilities (vending coffee carts cafeterias mini-stores give counts for the campus talk about why this is a good location worksite lots of visitors of workers potentially impacted and visitor if you know those

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Presenter
Presentation Notes
I am going to walk through different examples of this wheel showing how Food Services Guidelines are developed and implemented For example understanding and knowing your leadership

Engage Stakeholders and Partners

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Community Support

Positive Responses ldquoThey taste greatrdquoldquoI like to feel energizedrdquo ldquoIt makes me feel more productive at workrdquo

bull Employees feel supportedbull Encouraged to take better

care of themselves bull Appreciate having healthy

options

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Food and Beverage Assessment

Examples include bull Fruit and Vegetablesbull Grainsbull Dairybull Beveragesbull Nutritional Labeling

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Update Food and Beverage Policy

bull Traditional Foods introduced into hospitals

bull Soda free Campus

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Review Purchasing and Agreement

Process for purchasing agreements

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Communication Strategies

Healthy Food Choices

Benefitsbull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancers

Source Dietary Guidelines for Americans 2015-2020 Eight Edition (pg 17)

Presenter
Presentation Notes
httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Fruit on the counterbull Nuts from your snack drawerbull Healthy Food from the vending machinebull Drive your car to the closest fast food joint

Itrsquos 3pm you worked through lunch and your belly is growling

Presenter
Presentation Notes
Making the healthy choice the easy choice

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to save any questions you may have while you listen to my friend and colleague Dawn talk about how active transportation improves physical activity and is an investment in health 13

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Active Transportation is a strategy to increase physical activity and works across the lifespan Think of strollering baby to a park walking child to day care school or the rest of us using active transportation to walk bike or bus to any destination we desire

Active Transportation Improves Physical Activity and is

an Investment in Health

Presenter
Presentation Notes
Imagine how much PA you would each tally if everyday you had a activity friendly route (safe route to walk your kids to school use transit carpool bike to meet friends at a restaurant grab groceries or arrive work Of course this would mean you would get more physical activity

Safer and Healthier Streets for EVERYONE

Active Transportation Initiative

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

2018 Physical Activity Guidelines

Adultsbull 150 minutes moderate

intensity per week

School-agebull 60 minutes or more every

day

Preschool bull Active throughout the day

httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf

Presenter
Presentation Notes
The Physical Activity Guidelines for Americans is issues by the US Dept of Health and Human Services The primary audience is policy makers and health professionals though it may also be interesting to members of the public The main ide behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits 1313Key Guidelines1313Adults should move more and sit less throughout the day Some physical activity is better than none 22 minutes or more every day combination of moderate and vigorous intensity with 2 or more days a week of muscle strengthening 1313School-age appropriate to age and enjoyable variety1313Preschool variety of active play throughout the day1313Source httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf1313So we know the guidelines for PA now13

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 7: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Three Initiatives

1 BreastfeedingMake Breastfeeding easier to start and sustain

2 Food Service GuidelinesMake healthy food choices available everywhere

3 Active TransportationMake active transportation safe and accessible

Nutrition

Physical Activity

Investment in Health

Presenter
Presentation Notes
Help hospitals use evidence-based maternity care practices to support new mothers to start breastfeeding1313Improve healthy food options through procurement to include healthy food service guidelines in state agencies and community settings where food is offered served and sold1313Support active transportation and land use policies to make more activity-friendly routes to everyday destinations1313Improve standards that help prevent childhood obesity (breastfeeding healthy eating physical activity and limit screen time) within their existing ECE systems 1313

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Breastfeeding Improves Nutrition and is an Investment in Health

Source httpswwwcdcgovbrestfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Lori ldquoNow Irsquom going to let my friend and colleague Dawn show you how breastfeeding improves nutrition and is an investment in health ldquo13____________________________________________________________________________________________________________________________________________________________________________13Dawn Thank you Lori for setting the stage 1313Foreword from the Surgeon General US Department of Health and Human Services Regina M Benjamin MD MBA1313The Surgeon General says ldquo 13ldquoFor nearly all infants breastfeeding is the best source of infant nutrition and immunization protection and it provides remarkable health benefits to mothers as well Babies who are breastfed are less likely to become overweight and obese ldquo131313And yet within only three months after giving birth more than two-thirds of breastfeeding mothers have already begun using formula By six months postpartum more than half of mothers have given up on breastfeeding and mothers who breastfeed one-year-olds or toddlers are a rarity in our societyrdquo1313US Department of Health and Human Services The Surgeon Generalrsquos Call to Action to Support Breastfeeding Washington DC US Department of Health and Human Services Office of the Surgeon General 20111313

Alaska Breastfeeding Initiative

Presenter
Presentation Notes
Irsquom going to talk about Alaska Breastfeeding Initiative- and the evidence based strategies we are working on throughout Alaska 1313131313httpspediatricsaappublicationsorgcontent1293e827fullcontent-block- AAP endorses TEN STEPS TO SUCCESSFUL BREASTFEEDING1313Hospital practices in the first hours and days after birth make the difference in whether and how long babies are breastfed Remember that is Step 4-9 13Step 4- help mothers initiate breastfeed asap (skin to skin)13Step 5- show mothers how to latch13Step 6- only breastmilk unless formula medically necessary13Step 7- Rooming in13Step 8- Breastfeeding on demand13Step 9 no pacifiers13 1313The International Code Marketing of Breastmilk Substitutes by offering education and educational material that promote human milk rather than other food and drinks and by refusing to accept or distribute free or subsidized supplies of breastmilk substitutes nipples and other feeding devices 1313of commercial discharge packs which contain samples of breastmilk substitutes adversely affects breastfeeding and there is no justification for giving them Second discontinuing the provision of formula in maternity facilities has been shown to be one of the most cost-effective health interventions known1313Hospital routines can help or hinder new mothers and babies while theyrsquore learning to breastfeed 131313CDCrsquos national survey of Maternity Practices in Infant Nutrition and Care (mPINC) is administered every two years to monitor and examine changes in practices over time at all hospitals and birth centers with registered maternity beds in the United States and Territories1313So our work will be officially evaluated by CDC in 2021 and results available 2022 1313But we are doing internal programmatic evaluations every year with the hospitals we have offered TEN STEP training 13We are offering technical assistance and sharing model TEN STEP POLICIES 13We recently helped Fairbanks write a grant to receive funds to concentrate specifically on the most evidenced steps I mentioned earlier STEP 3- prenatal and Step 10 community support 1313

1

image1png

Benefits of Breastfeeding

bull Obesitybull Type 2 Diabetesbull Sudden infant death

syndromebull High blood pressurebull Certain cancers

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
BREASTFEEDING IS AN INVESTMENT IN HEALTH NOT JUST A LIFESTYLE DECISION 1313BENEFITS FOR INFANTS 13Infants who are breastfed have reduced risks of bull Asthma bull Obesity bull Type 1 diabetes bull Severe lower respiratory disease bull Acute otitis media (ear infections) bull Sudden infant death syndrome (SIDS) bull Gastrointestinal infections (diarrheavomiting) bull 1313BENEFITS FOR MOTHERS 13Breastfeeding can help lower a motherrsquos risk of bull High blood pressure bull Type 2 diabetes bull Ovarian cancer bull Breast cancer 131313Breastfeeding provides unmatched health benefits for babies and mothers It is the clinical gold standard for infant feeding and nutrition with breast milk uniquely tailored to meet the health needs of a growing baby We must do more to create supportive and safe environments for mothers who choose to breastfeed Dr Ruth Petersen Director of CDCrsquos Division of Nutrition Physical Activity and Obesity 1313Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

American Academy of Pediatrics (AAP)Recommendations

bull Exclusive breastfeeding for about 6 months

bull Introduce foods at about 6 months

bull Continued breastfeeding 12 months or longer

Source Pediatrics March 2012 129 (3) e827-e841 DOI httpsdoiorg101542peds2011-3552

Presenter
Presentation Notes
13Breastfeeding is a natural and beneficial source of nutrition and provides the healthiest start for an infant and promotes a unique and emotional connection between mother and baby 1313The AAP policy Breastfeeding and the Use of Human Milk is one of the most accessed policies available from the AAP because of its importance for the health of families here in the US and throughout the world1313In the policy statement Breastfeeding and the Use of Human Milk published in the March 2012 issue of Pediatrics (published online Feb 27) the American Academy of Pediatrics (AAP) reaffirmed its recommendation of exclusive breastfeeding for about the first six months of a babys life followed by breastfeeding in combination with the introduction of complementary foods until at least 12 months of age and continuation of breastfeeding for as long as mutually desired by mother and baby 131313Source Pediatrics March 2012 129 (3) e827-e841 DOI httpsdoiorg101542peds2011-3552 13Source httpswwwaaporgen-usabout-the-aapaap-press-roompagesaap-reaffirms-breastfeeding-guidelinesaspx131313

Letrsquos monitor how Alaska is doing

Presenter
Presentation Notes
Letrsquos monitor how Alaska is doing according to Mothers and Hospital reports

Alaska PRAMS

What mothers report

Presenter
Presentation Notes
13Two reports that use CDC PRAMS as a Data Source 13httpdhssalaskagovdphChronicDocumentsObesitypubs2019ChildhoodPAN_Factspdf131313PRAMS started as an initiative to reduce infant mortality and low birthweight Three states do not participate CA ID and OH just interesting I will not share 1313Surveys mailed to women CDC survey ~150month telephone calls attempted to women who do not respond by mail Survey of mothers health before during and after pregnancy 13Birth records available when baby minimum of 2 months and a maximum of 6 months13Women whose babies have died are still included letters specific for grieving mothers are mailed out in these situations 13When birth multiple one infant is randomly selected and pending adopts are included as long as biological mother is identified on birth record13Randomly samples approximately 16 of all live births in Alaska13Alaskarsquos population is ~ 73700013About 66 are white 15 Alaska NativeAmerican Indian13Alaska PRAMS eligible population is ~11000yr13About 65 are white 25 Alaska Native13We were the 7th state to join PRAMS (now 47)13Wersquove collected 30 years of data (since 1990)13

Breastfeeding initiation 2017

bull Initiation rate of 93 top in the country (US Avg 88)bull Disparities exist but we know mothers of all ages race and

income levels can be successful at breastfeeding

httpdhssalaskagovdphChronicDocumentsObesitypubs2019ChildhoodPAN_Factspdf

Presenter
Presentation Notes
the surgeon general goes on to say ldquoMany mothers in the United States want to breastfeed and most tryrdquo Remember this is Step 4 of Ten Steps ldquoHelp Mother Breastfeedrdquo

Any breastfeeding at 8 weeks 2016

Source Alaska PRAMS FPL = Federal Poverty Level Note US value is from 2015 and based on weighted mean of 35 participating PRAMS programs meeting required response rate threshold set by CDC Source 2015 Alaska PRAMS survey (Pregnancy

Risk Assessment Monitoring System)

bull 8-week rate of 83 far exceeds the US bull Mothers of all ages race and income levels can be successful

at breastfeeding

Presenter
Presentation Notes
the surgeon general goes on to say ldquoMany mothers in the United States want to breastfeed and most tryrdquo 131313 And yet within only three months after giving birth more than two-thirds of breastfeeding mothers have already begun using formula By six months postpartum more than half of mothers have given up on breastfeeding and mothers who breastfeed one-year-olds or toddlers are a rarity in our societyrdquo131313Could be related to Step 3 Prenatal education Step 5 Show mothers how to breastfeed and how to maintain lactation even if separated from baby Step 10 Community Support 1313quote I read earlier ldquomany mothers in the US want to breastfeed and most tryrdquo Alaska is much the same Alaskarsquos high breastfeeding initiation rates show that most mothers in the AK want to breastfeed and start out doing so1313Overall AK rates exceed US rates You can see Alaskarsquos 8-week breastfeeding rate of 83 far exceeds the US comparison at 661313Younger and older mothers can both be successful at breastfeeding 1313mothers of all races and income level can do well with breastfeeding 1313Women with limited economic means can achieve breastfeeding1313Mothers of all ages race and income levels can be successful with breastfeeding 1313Source Alaska PRAMS FPL = Federal Poverty Level Note US value is from 2015 and based on weighted mean of 35 participating PRAMS programs meeting required response rate threshold set by CDC 1313Source Alaska Maternal and Child Health Data Book 2018 PRAMS edition1313

Why do Alaska mothers report stop breastfeeding

before their babies are 8 weeks old

bull Return to work or schoolbull No timebull No placebull Too painfulbull Not enough milk

Source 2015 Alaska PRAMS survey (Pregnancy Risk Assessment Monitoring System)

Presenter
Presentation Notes
According to the httpdhssalaskagovdphwcfhDocumentsmchepipramsAlaska_Breastfeeding_Topic_Report_2012-2014pdf

Alaska PRAMS Reports

By 8 weeks post-partum 50 of the mothers who stopped breastfeeding reported doing so because they thought that they did not have enough milk

20

SourcehttpdhssalaskagovdphwcfhDocumentsmchepipramsAlaska_Breastfeeding_Topic_Report_2012-2014pdf

Presenter
Presentation Notes
Mothers reported stopping because they felt they did not have enough milk Remember when I mentioned that the steps with the most evidence The TENS STEPS can educate mothers about how to realize if babies are getting enough milk 131313This information is from the 2015 Alaska PRAMS survey (Pregnancy Risk Assessment Monitoring System)13PRAMS asks Alaskan mothers for information about breastfeeding about 3-4 months after delivery1313PRAM is Randomly samples approximately 16 of all live births in Alaska13Alaskarsquos population is ~ 73230013About 71 are white 17 Alaska Native13Alaska PRAMS eligible population is ~11000yr13About 65 are white 25 Alaska Native13We were the 7th state to join PRAMS (now 40)13Wersquove collected 25 years of data (since 1990)1313Monthly batch sampled from Bureau of Vital Statistics birth records13Teenage mothers are included13PRAMS data are linked to the birth certificate13Higher risk moms are oversampled13Primarily mail w phone follow-up132-6 months after birth13Allows for postpartum questions 132 months (8 weeks) is the maximum age where all respondents are eligible to answer1313131313Mothers need good educationinformation about breastfeeding and baby health and behaviors1313This point many potential factors13motherrsquos lack of knowledge of baby behaviorhelliphelliphelliphellipcrying is not early cue13Latch issues13Checking wet diapers poo13Checking babyrsquos weight1313Any IBCLCs here 1313If mothers and babies donrsquot breastfeeding after 8 weekshelliphelliphelliphelliphellip1313The ten steps address thishelliphelliphelliphelliptalk about how13

Hospitals report

Presenter
Presentation Notes
In October 2003 CDC convened an expert panel of researchers with specific experience in surveillance and monitoring of hospital practices related to breastfeeding At the time no system in the US collected nationally representative data on these practices The Expert Panelrsquos recommendation was to establish an ongoing national system to monitor and evaluate hospital practices related to breastfeeding among all facilities that routinely provide intrapartum care in the US1313In 2007 CDC administered the first national survey of maternity practices related to breastfeeding known as the mPINC survey It is administered every two years to every facility in the US that routinely provides maternity care services and is completed by a key informant on behalf of his or her institution in their capacity as the person most knowledgeable about the relevant practices13

Ten Steps to Successful Breastfeeding Evidence-Based

Presenter
Presentation Notes
Ten Steps to Successful Breastfeeding in both these documents as evidence based strategies to improve breastfeeding outcomes
Presenter
Presentation Notes
13Ten steps ndashoverviewhelliplist all ten1313The ten steps to successful breastfeeding include 131 Hospital breastfeeding policies- that address all TEN STEPS 132 Staff education of breastfeeding best practices and even a designated staff member responsible for lactation support133 Pre an post partum breastfeeding education134 Help mothers breastfeed within the first birth hour135 Who mothers how to breastfeed and how to maintain lactation if separated from baby136 No formula unless medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers1310 And out of hospital community support where does mother find help at 2am if she needs breastfeeding support and assistance13131313ABI is the only effort in Alaska address steps 1-10 with birthing center staff 1313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum13
Presenter
Presentation Notes
5 Who mothers how to breastfeed and how to maintain lactation if separated from baby136 No formula unless medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers1310 And out of hospital community support where does mother find help at 2am if she needs breastfeeding support and assistance1313ABI is the only effort in Alaska address steps 1-10 with birthing center staff 1313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum131313Ten steps ndashoverviewhelliplist all ten1313The ten steps to successful breastfeeding include 131 Hospital breastfeeding policies- that address all TEN STEPS 132 Staff education of breastfeeding best practices133 Pre an post partum breastfeeding education for mothers and families134 Help mothers breastfeed within the first birth hour vag 2 hours csect135 Show mothers how to breastfeed and how to maintain lactation if separated from baby136 formula only if medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day- infant procedures to occur in same room as mother138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers for 1st 48 hours1310 And out of hospital community support where does mother go at 2am if she needs breastfeeding support and assistance1313ABI is the only effort in Alaska address steps 1-7 with birthing center staff 1313How to improve rate 1313Research shows certain steps have strongest evidence 13The steps with most evidence will get more attention in my talk and in our program131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum13

Steps with most evidencemPINC results 2009-2015

13

16

79

74

85

19

39

90

89

93

24

57

62

70

90

All Ten Step policies

Community support

Show mothers how to feed

Prenatal education

Early contact and feeding

2015

2013

2009

Source CDC mPINC 200920132015

Presenter
Presentation Notes
This shows mPINC data from 2009 (before Alaska Breastfeeding Initiative kicked off in 2012)13132009 before ABI 132013 data collected during 2012 when ABI started itrsquos work on improving breast feeding outcomes through TEN STEPS132015 data collected during 2014 Akrsquos score (out of 100) remained the same No big leaps as seen from 2009-131313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 13

Alaska Breastfeeding Initiative

Presenter
Presentation Notes
httpspediatricsaappublicationsorgcontent1293e827fullcontent-block- AAP endorses TEN STEPS TO SUCCESSFUL BREASTFEEDING1313Hospital practices in the first hours and days after birth make the difference in whether and how long babies are breastfed Remember that is Step 4-9 13Step 4- help mothers initiate breastfeed asap (skin to skin)13Step 5- show mothers how to latch13Step 6- only breastmilk unless formula medically necessary13Step 7- Rooming in13Step 8- Breastfeeding on demand13Step 9 no pacifiers13 1313The International Code Marketing of Breastmilk Substitutes by offering education and educational material that promote human milk rather than other food and drinks and by refusing to accept or distribute free or subsidized supplies of breastmilk substitutes nipples and other feeding devices 1313of commercial discharge packs which contain samples of breastmilk substitutes adversely affects breastfeeding and there is no justification for giving them Second discontinuing the provision of formula in maternity facilities has been shown to be one of the most cost-effective health interventions known1313Hospital routines can help or hinder new mothers and babies while theyrsquore learning to breastfeed 131313CDCrsquos national survey of Maternity Practices in Infant Nutrition and Care (mPINC) is administered every two years to monitor and examine changes in practices over time at all hospitals and birth centers with registered maternity beds in the United States and Territories1313So our work will be officially evaluated by CDC in 2021 and results available 2022 1313But we are doing internal programmatic evaluations every year with the hospitals we have offered TEN STEP training 13We are offering technical assistance and sharing model TEN STEP POLICIES 13We recently helped Fairbanks write a grant to receive funds to concentrate specifically on the most evidenced steps I mentioned earlier STEP 3- prenatal and Step 10 community support 1313

1

image1png

Work on all strategies at once

Presenter
Presentation Notes
Our program WIC ABC many hospitals and ABI and partners are working on all 9 of CDC Guide to Strategies to Support Breastfeeding Mothers and Babies 1313That last one ldquoaddressing marketing of infant formulardquo is part of the 1313Strategy 9 is referred to you make hear it called the International Code of Marketing of Breast-milk Substitutes which means 13httpswwwcdcgovbreastfeedingpdfBF_guide_7pdf1313httpswwwcdcgovbreastfeedingpdfBF_guide_7pdf1313The International Code recommends 13No advertising of breast-milk substitutes directly to the public 13No free samples to mothers 13No promotion of products in health care facilities 13No commercial product representatives to advise mothers 13No gifts or personal samples to health workers 13No words or pictures idealizing artificial feeding including pictures of infants on the products 1313The International Code also states 13Information to health workers should be scientific and factual 13All information on artificial feeding including the labels should explain the benefits of breastfeeding and the costs and hazards associated with artificial feeding 13Unsuitable products such as condensed milk should not be promoted for babies 13All products should be of a high quality and take into account the climatic and storage conditions of the country where they are used 13131313

2019 Alaska Baby Friendly Hospitals

Over the Last 5 Years (2014-2019)

20 of all births will occur in baby friendly hospitalsbull Representing 55 of Alaska Natives

Source 2019 Alaska HAVRS (Number of births Alaska Native births)

Presenter
Presentation Notes
The baby friendly hospital initiative is a global program sponsored by the WHO and United Nations Childrens Fund (UNICEF) to encourage and recognize hospitals and birth centers that offer an optimal level of care for lactation based on the TEN STEPS to Successful Breastfeeding and the International Code of Marketing of Breast-milk substitutes1313Source Baby Friendly USA Baby Friendly Hospitals and Birth Centers designated as of June 2018 Available at httpwwwbabyfriendlyusaorg13 Baby Friendly USA reviewed policies and reviewed all criteria to get he designating as baby friendly Many hospitals implement the 10 steps without official baby friendly designation

How you can support breastfeeding

bull Prenatal breastfeeding education

bull Maternity centers show mothers how to breastfeed-early and often

bull Support after hospital discharge

Presenter
Presentation Notes
Remember the goal here is to concentrate on the steps that have the most evidence1313Ask for or help develop opportunities for prenatal breastfeeding education1313Maternity centers can show mothers how to breastfeed early and often Skin to skin without 30 minutes to 1 hour (vag) 30 min to 2 hours for c sect1313Support mothers and babies after discharge through peer support program breast feeding programs at early child education centers and support in workplace

Breastfeeding Improves Nutrition and is an Investment In Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to write down any questions you may have about Breast Feeding Initiative or breastfeeding in general while you listen to my friend and colleague Lori talk about how food service guidelines improve nutrition and is an investment in health

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Discuss lifespan of how we work with infants preschool school age and adults 13

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Dawn ldquoNow Irsquom going to let my friend and colleague Loti show you how food service guidelines improves nutrition and is an investment in health ldquo13____________________________________________________________________________________________________________________________________________________________________________13Lori Thank you Dawn for setting the stage 13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Donuts on the counterbull Chocolate or candy from your snack drawerbull Food from the vending machinebull Walk to the cafeteria or store for a healthy option

Itrsquos 3pm you worked through lunch and your belly is growling

Food Service Guidelines

Presenter
Presentation Notes
What we eat and drink impacts our health but we tend to eat whatrsquos readily available 1313Food Service Guidelines represent a voluntary set of best business practices that ensure safe healthy food options are available13The availability of healthy affordable foods contributes to a personrsquos diet and risk of diet-related chronic diseases13Fewer than 1 in 10 adults eat the recommended daily amount of fruits and vegetables1313What we eat and drink impacts our health but we tend to eat whatrsquos readily available 13The average American consuming more than one-third of their calories through foods prepared away from home organizations across Alaska and the country are realizing that the foods and beverages they offer at their work sites provide a significant opportunity to promote and improve employee health13Making healthier food and beverages available in public places lets families employees patients and children 13Eat healthy13Helps prevent weight gain and diseases like type 2 diabetes cancer and heart disease13

Food Service Guidelines

Goalsbull Healthier foods and

beverages bull Support local food

sourcing

Presenter
Presentation Notes
Healthier food and beverages available (cafeterias workplace coffee shops schools etc1313Local Food Sourcing includes farmers markets including at your work site mom and pop stores cars microgreens from Talkeetna that deliver to Anchorage seafood at farmers markets 1313Example Farm to table with our local farmers market in anchorage brought local chickens from homer to anchorage Previously available only sold to grocery stores and now available to direct consumers

Healthy Food Initiative

bull Established partnership with Alaska Native Tribal Health Consortium (ANTHC)bull Campus Healthy Food Project (CHeF)

bull Vending bull Coffee Cartsbull Cafeteriasbull Mini-Stores

Presenter
Presentation Notes
talk about ANTHC includes SCF and ANMC when the term campus is used give examples of food service facilities (vending coffee carts cafeterias mini-stores give counts for the campus talk about why this is a good location worksite lots of visitors of workers potentially impacted and visitor if you know those

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Presenter
Presentation Notes
I am going to walk through different examples of this wheel showing how Food Services Guidelines are developed and implemented For example understanding and knowing your leadership

Engage Stakeholders and Partners

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Community Support

Positive Responses ldquoThey taste greatrdquoldquoI like to feel energizedrdquo ldquoIt makes me feel more productive at workrdquo

bull Employees feel supportedbull Encouraged to take better

care of themselves bull Appreciate having healthy

options

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Food and Beverage Assessment

Examples include bull Fruit and Vegetablesbull Grainsbull Dairybull Beveragesbull Nutritional Labeling

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Update Food and Beverage Policy

bull Traditional Foods introduced into hospitals

bull Soda free Campus

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Review Purchasing and Agreement

Process for purchasing agreements

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Communication Strategies

Healthy Food Choices

Benefitsbull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancers

Source Dietary Guidelines for Americans 2015-2020 Eight Edition (pg 17)

Presenter
Presentation Notes
httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Fruit on the counterbull Nuts from your snack drawerbull Healthy Food from the vending machinebull Drive your car to the closest fast food joint

Itrsquos 3pm you worked through lunch and your belly is growling

Presenter
Presentation Notes
Making the healthy choice the easy choice

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to save any questions you may have while you listen to my friend and colleague Dawn talk about how active transportation improves physical activity and is an investment in health 13

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Active Transportation is a strategy to increase physical activity and works across the lifespan Think of strollering baby to a park walking child to day care school or the rest of us using active transportation to walk bike or bus to any destination we desire

Active Transportation Improves Physical Activity and is

an Investment in Health

Presenter
Presentation Notes
Imagine how much PA you would each tally if everyday you had a activity friendly route (safe route to walk your kids to school use transit carpool bike to meet friends at a restaurant grab groceries or arrive work Of course this would mean you would get more physical activity

Safer and Healthier Streets for EVERYONE

Active Transportation Initiative

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

2018 Physical Activity Guidelines

Adultsbull 150 minutes moderate

intensity per week

School-agebull 60 minutes or more every

day

Preschool bull Active throughout the day

httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf

Presenter
Presentation Notes
The Physical Activity Guidelines for Americans is issues by the US Dept of Health and Human Services The primary audience is policy makers and health professionals though it may also be interesting to members of the public The main ide behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits 1313Key Guidelines1313Adults should move more and sit less throughout the day Some physical activity is better than none 22 minutes or more every day combination of moderate and vigorous intensity with 2 or more days a week of muscle strengthening 1313School-age appropriate to age and enjoyable variety1313Preschool variety of active play throughout the day1313Source httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf1313So we know the guidelines for PA now13

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 8: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Breastfeeding Improves Nutrition and is an Investment in Health

Source httpswwwcdcgovbrestfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Lori ldquoNow Irsquom going to let my friend and colleague Dawn show you how breastfeeding improves nutrition and is an investment in health ldquo13____________________________________________________________________________________________________________________________________________________________________________13Dawn Thank you Lori for setting the stage 1313Foreword from the Surgeon General US Department of Health and Human Services Regina M Benjamin MD MBA1313The Surgeon General says ldquo 13ldquoFor nearly all infants breastfeeding is the best source of infant nutrition and immunization protection and it provides remarkable health benefits to mothers as well Babies who are breastfed are less likely to become overweight and obese ldquo131313And yet within only three months after giving birth more than two-thirds of breastfeeding mothers have already begun using formula By six months postpartum more than half of mothers have given up on breastfeeding and mothers who breastfeed one-year-olds or toddlers are a rarity in our societyrdquo1313US Department of Health and Human Services The Surgeon Generalrsquos Call to Action to Support Breastfeeding Washington DC US Department of Health and Human Services Office of the Surgeon General 20111313

Alaska Breastfeeding Initiative

Presenter
Presentation Notes
Irsquom going to talk about Alaska Breastfeeding Initiative- and the evidence based strategies we are working on throughout Alaska 1313131313httpspediatricsaappublicationsorgcontent1293e827fullcontent-block- AAP endorses TEN STEPS TO SUCCESSFUL BREASTFEEDING1313Hospital practices in the first hours and days after birth make the difference in whether and how long babies are breastfed Remember that is Step 4-9 13Step 4- help mothers initiate breastfeed asap (skin to skin)13Step 5- show mothers how to latch13Step 6- only breastmilk unless formula medically necessary13Step 7- Rooming in13Step 8- Breastfeeding on demand13Step 9 no pacifiers13 1313The International Code Marketing of Breastmilk Substitutes by offering education and educational material that promote human milk rather than other food and drinks and by refusing to accept or distribute free or subsidized supplies of breastmilk substitutes nipples and other feeding devices 1313of commercial discharge packs which contain samples of breastmilk substitutes adversely affects breastfeeding and there is no justification for giving them Second discontinuing the provision of formula in maternity facilities has been shown to be one of the most cost-effective health interventions known1313Hospital routines can help or hinder new mothers and babies while theyrsquore learning to breastfeed 131313CDCrsquos national survey of Maternity Practices in Infant Nutrition and Care (mPINC) is administered every two years to monitor and examine changes in practices over time at all hospitals and birth centers with registered maternity beds in the United States and Territories1313So our work will be officially evaluated by CDC in 2021 and results available 2022 1313But we are doing internal programmatic evaluations every year with the hospitals we have offered TEN STEP training 13We are offering technical assistance and sharing model TEN STEP POLICIES 13We recently helped Fairbanks write a grant to receive funds to concentrate specifically on the most evidenced steps I mentioned earlier STEP 3- prenatal and Step 10 community support 1313

1

image1png

Benefits of Breastfeeding

bull Obesitybull Type 2 Diabetesbull Sudden infant death

syndromebull High blood pressurebull Certain cancers

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
BREASTFEEDING IS AN INVESTMENT IN HEALTH NOT JUST A LIFESTYLE DECISION 1313BENEFITS FOR INFANTS 13Infants who are breastfed have reduced risks of bull Asthma bull Obesity bull Type 1 diabetes bull Severe lower respiratory disease bull Acute otitis media (ear infections) bull Sudden infant death syndrome (SIDS) bull Gastrointestinal infections (diarrheavomiting) bull 1313BENEFITS FOR MOTHERS 13Breastfeeding can help lower a motherrsquos risk of bull High blood pressure bull Type 2 diabetes bull Ovarian cancer bull Breast cancer 131313Breastfeeding provides unmatched health benefits for babies and mothers It is the clinical gold standard for infant feeding and nutrition with breast milk uniquely tailored to meet the health needs of a growing baby We must do more to create supportive and safe environments for mothers who choose to breastfeed Dr Ruth Petersen Director of CDCrsquos Division of Nutrition Physical Activity and Obesity 1313Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

American Academy of Pediatrics (AAP)Recommendations

bull Exclusive breastfeeding for about 6 months

bull Introduce foods at about 6 months

bull Continued breastfeeding 12 months or longer

Source Pediatrics March 2012 129 (3) e827-e841 DOI httpsdoiorg101542peds2011-3552

Presenter
Presentation Notes
13Breastfeeding is a natural and beneficial source of nutrition and provides the healthiest start for an infant and promotes a unique and emotional connection between mother and baby 1313The AAP policy Breastfeeding and the Use of Human Milk is one of the most accessed policies available from the AAP because of its importance for the health of families here in the US and throughout the world1313In the policy statement Breastfeeding and the Use of Human Milk published in the March 2012 issue of Pediatrics (published online Feb 27) the American Academy of Pediatrics (AAP) reaffirmed its recommendation of exclusive breastfeeding for about the first six months of a babys life followed by breastfeeding in combination with the introduction of complementary foods until at least 12 months of age and continuation of breastfeeding for as long as mutually desired by mother and baby 131313Source Pediatrics March 2012 129 (3) e827-e841 DOI httpsdoiorg101542peds2011-3552 13Source httpswwwaaporgen-usabout-the-aapaap-press-roompagesaap-reaffirms-breastfeeding-guidelinesaspx131313

Letrsquos monitor how Alaska is doing

Presenter
Presentation Notes
Letrsquos monitor how Alaska is doing according to Mothers and Hospital reports

Alaska PRAMS

What mothers report

Presenter
Presentation Notes
13Two reports that use CDC PRAMS as a Data Source 13httpdhssalaskagovdphChronicDocumentsObesitypubs2019ChildhoodPAN_Factspdf131313PRAMS started as an initiative to reduce infant mortality and low birthweight Three states do not participate CA ID and OH just interesting I will not share 1313Surveys mailed to women CDC survey ~150month telephone calls attempted to women who do not respond by mail Survey of mothers health before during and after pregnancy 13Birth records available when baby minimum of 2 months and a maximum of 6 months13Women whose babies have died are still included letters specific for grieving mothers are mailed out in these situations 13When birth multiple one infant is randomly selected and pending adopts are included as long as biological mother is identified on birth record13Randomly samples approximately 16 of all live births in Alaska13Alaskarsquos population is ~ 73700013About 66 are white 15 Alaska NativeAmerican Indian13Alaska PRAMS eligible population is ~11000yr13About 65 are white 25 Alaska Native13We were the 7th state to join PRAMS (now 47)13Wersquove collected 30 years of data (since 1990)13

Breastfeeding initiation 2017

bull Initiation rate of 93 top in the country (US Avg 88)bull Disparities exist but we know mothers of all ages race and

income levels can be successful at breastfeeding

httpdhssalaskagovdphChronicDocumentsObesitypubs2019ChildhoodPAN_Factspdf

Presenter
Presentation Notes
the surgeon general goes on to say ldquoMany mothers in the United States want to breastfeed and most tryrdquo Remember this is Step 4 of Ten Steps ldquoHelp Mother Breastfeedrdquo

Any breastfeeding at 8 weeks 2016

Source Alaska PRAMS FPL = Federal Poverty Level Note US value is from 2015 and based on weighted mean of 35 participating PRAMS programs meeting required response rate threshold set by CDC Source 2015 Alaska PRAMS survey (Pregnancy

Risk Assessment Monitoring System)

bull 8-week rate of 83 far exceeds the US bull Mothers of all ages race and income levels can be successful

at breastfeeding

Presenter
Presentation Notes
the surgeon general goes on to say ldquoMany mothers in the United States want to breastfeed and most tryrdquo 131313 And yet within only three months after giving birth more than two-thirds of breastfeeding mothers have already begun using formula By six months postpartum more than half of mothers have given up on breastfeeding and mothers who breastfeed one-year-olds or toddlers are a rarity in our societyrdquo131313Could be related to Step 3 Prenatal education Step 5 Show mothers how to breastfeed and how to maintain lactation even if separated from baby Step 10 Community Support 1313quote I read earlier ldquomany mothers in the US want to breastfeed and most tryrdquo Alaska is much the same Alaskarsquos high breastfeeding initiation rates show that most mothers in the AK want to breastfeed and start out doing so1313Overall AK rates exceed US rates You can see Alaskarsquos 8-week breastfeeding rate of 83 far exceeds the US comparison at 661313Younger and older mothers can both be successful at breastfeeding 1313mothers of all races and income level can do well with breastfeeding 1313Women with limited economic means can achieve breastfeeding1313Mothers of all ages race and income levels can be successful with breastfeeding 1313Source Alaska PRAMS FPL = Federal Poverty Level Note US value is from 2015 and based on weighted mean of 35 participating PRAMS programs meeting required response rate threshold set by CDC 1313Source Alaska Maternal and Child Health Data Book 2018 PRAMS edition1313

Why do Alaska mothers report stop breastfeeding

before their babies are 8 weeks old

bull Return to work or schoolbull No timebull No placebull Too painfulbull Not enough milk

Source 2015 Alaska PRAMS survey (Pregnancy Risk Assessment Monitoring System)

Presenter
Presentation Notes
According to the httpdhssalaskagovdphwcfhDocumentsmchepipramsAlaska_Breastfeeding_Topic_Report_2012-2014pdf

Alaska PRAMS Reports

By 8 weeks post-partum 50 of the mothers who stopped breastfeeding reported doing so because they thought that they did not have enough milk

20

SourcehttpdhssalaskagovdphwcfhDocumentsmchepipramsAlaska_Breastfeeding_Topic_Report_2012-2014pdf

Presenter
Presentation Notes
Mothers reported stopping because they felt they did not have enough milk Remember when I mentioned that the steps with the most evidence The TENS STEPS can educate mothers about how to realize if babies are getting enough milk 131313This information is from the 2015 Alaska PRAMS survey (Pregnancy Risk Assessment Monitoring System)13PRAMS asks Alaskan mothers for information about breastfeeding about 3-4 months after delivery1313PRAM is Randomly samples approximately 16 of all live births in Alaska13Alaskarsquos population is ~ 73230013About 71 are white 17 Alaska Native13Alaska PRAMS eligible population is ~11000yr13About 65 are white 25 Alaska Native13We were the 7th state to join PRAMS (now 40)13Wersquove collected 25 years of data (since 1990)1313Monthly batch sampled from Bureau of Vital Statistics birth records13Teenage mothers are included13PRAMS data are linked to the birth certificate13Higher risk moms are oversampled13Primarily mail w phone follow-up132-6 months after birth13Allows for postpartum questions 132 months (8 weeks) is the maximum age where all respondents are eligible to answer1313131313Mothers need good educationinformation about breastfeeding and baby health and behaviors1313This point many potential factors13motherrsquos lack of knowledge of baby behaviorhelliphelliphelliphellipcrying is not early cue13Latch issues13Checking wet diapers poo13Checking babyrsquos weight1313Any IBCLCs here 1313If mothers and babies donrsquot breastfeeding after 8 weekshelliphelliphelliphelliphellip1313The ten steps address thishelliphelliphelliphelliptalk about how13

Hospitals report

Presenter
Presentation Notes
In October 2003 CDC convened an expert panel of researchers with specific experience in surveillance and monitoring of hospital practices related to breastfeeding At the time no system in the US collected nationally representative data on these practices The Expert Panelrsquos recommendation was to establish an ongoing national system to monitor and evaluate hospital practices related to breastfeeding among all facilities that routinely provide intrapartum care in the US1313In 2007 CDC administered the first national survey of maternity practices related to breastfeeding known as the mPINC survey It is administered every two years to every facility in the US that routinely provides maternity care services and is completed by a key informant on behalf of his or her institution in their capacity as the person most knowledgeable about the relevant practices13

Ten Steps to Successful Breastfeeding Evidence-Based

Presenter
Presentation Notes
Ten Steps to Successful Breastfeeding in both these documents as evidence based strategies to improve breastfeeding outcomes
Presenter
Presentation Notes
13Ten steps ndashoverviewhelliplist all ten1313The ten steps to successful breastfeeding include 131 Hospital breastfeeding policies- that address all TEN STEPS 132 Staff education of breastfeeding best practices and even a designated staff member responsible for lactation support133 Pre an post partum breastfeeding education134 Help mothers breastfeed within the first birth hour135 Who mothers how to breastfeed and how to maintain lactation if separated from baby136 No formula unless medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers1310 And out of hospital community support where does mother find help at 2am if she needs breastfeeding support and assistance13131313ABI is the only effort in Alaska address steps 1-10 with birthing center staff 1313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum13
Presenter
Presentation Notes
5 Who mothers how to breastfeed and how to maintain lactation if separated from baby136 No formula unless medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers1310 And out of hospital community support where does mother find help at 2am if she needs breastfeeding support and assistance1313ABI is the only effort in Alaska address steps 1-10 with birthing center staff 1313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum131313Ten steps ndashoverviewhelliplist all ten1313The ten steps to successful breastfeeding include 131 Hospital breastfeeding policies- that address all TEN STEPS 132 Staff education of breastfeeding best practices133 Pre an post partum breastfeeding education for mothers and families134 Help mothers breastfeed within the first birth hour vag 2 hours csect135 Show mothers how to breastfeed and how to maintain lactation if separated from baby136 formula only if medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day- infant procedures to occur in same room as mother138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers for 1st 48 hours1310 And out of hospital community support where does mother go at 2am if she needs breastfeeding support and assistance1313ABI is the only effort in Alaska address steps 1-7 with birthing center staff 1313How to improve rate 1313Research shows certain steps have strongest evidence 13The steps with most evidence will get more attention in my talk and in our program131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum13

Steps with most evidencemPINC results 2009-2015

13

16

79

74

85

19

39

90

89

93

24

57

62

70

90

All Ten Step policies

Community support

Show mothers how to feed

Prenatal education

Early contact and feeding

2015

2013

2009

Source CDC mPINC 200920132015

Presenter
Presentation Notes
This shows mPINC data from 2009 (before Alaska Breastfeeding Initiative kicked off in 2012)13132009 before ABI 132013 data collected during 2012 when ABI started itrsquos work on improving breast feeding outcomes through TEN STEPS132015 data collected during 2014 Akrsquos score (out of 100) remained the same No big leaps as seen from 2009-131313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 13

Alaska Breastfeeding Initiative

Presenter
Presentation Notes
httpspediatricsaappublicationsorgcontent1293e827fullcontent-block- AAP endorses TEN STEPS TO SUCCESSFUL BREASTFEEDING1313Hospital practices in the first hours and days after birth make the difference in whether and how long babies are breastfed Remember that is Step 4-9 13Step 4- help mothers initiate breastfeed asap (skin to skin)13Step 5- show mothers how to latch13Step 6- only breastmilk unless formula medically necessary13Step 7- Rooming in13Step 8- Breastfeeding on demand13Step 9 no pacifiers13 1313The International Code Marketing of Breastmilk Substitutes by offering education and educational material that promote human milk rather than other food and drinks and by refusing to accept or distribute free or subsidized supplies of breastmilk substitutes nipples and other feeding devices 1313of commercial discharge packs which contain samples of breastmilk substitutes adversely affects breastfeeding and there is no justification for giving them Second discontinuing the provision of formula in maternity facilities has been shown to be one of the most cost-effective health interventions known1313Hospital routines can help or hinder new mothers and babies while theyrsquore learning to breastfeed 131313CDCrsquos national survey of Maternity Practices in Infant Nutrition and Care (mPINC) is administered every two years to monitor and examine changes in practices over time at all hospitals and birth centers with registered maternity beds in the United States and Territories1313So our work will be officially evaluated by CDC in 2021 and results available 2022 1313But we are doing internal programmatic evaluations every year with the hospitals we have offered TEN STEP training 13We are offering technical assistance and sharing model TEN STEP POLICIES 13We recently helped Fairbanks write a grant to receive funds to concentrate specifically on the most evidenced steps I mentioned earlier STEP 3- prenatal and Step 10 community support 1313

1

image1png

Work on all strategies at once

Presenter
Presentation Notes
Our program WIC ABC many hospitals and ABI and partners are working on all 9 of CDC Guide to Strategies to Support Breastfeeding Mothers and Babies 1313That last one ldquoaddressing marketing of infant formulardquo is part of the 1313Strategy 9 is referred to you make hear it called the International Code of Marketing of Breast-milk Substitutes which means 13httpswwwcdcgovbreastfeedingpdfBF_guide_7pdf1313httpswwwcdcgovbreastfeedingpdfBF_guide_7pdf1313The International Code recommends 13No advertising of breast-milk substitutes directly to the public 13No free samples to mothers 13No promotion of products in health care facilities 13No commercial product representatives to advise mothers 13No gifts or personal samples to health workers 13No words or pictures idealizing artificial feeding including pictures of infants on the products 1313The International Code also states 13Information to health workers should be scientific and factual 13All information on artificial feeding including the labels should explain the benefits of breastfeeding and the costs and hazards associated with artificial feeding 13Unsuitable products such as condensed milk should not be promoted for babies 13All products should be of a high quality and take into account the climatic and storage conditions of the country where they are used 13131313

2019 Alaska Baby Friendly Hospitals

Over the Last 5 Years (2014-2019)

20 of all births will occur in baby friendly hospitalsbull Representing 55 of Alaska Natives

Source 2019 Alaska HAVRS (Number of births Alaska Native births)

Presenter
Presentation Notes
The baby friendly hospital initiative is a global program sponsored by the WHO and United Nations Childrens Fund (UNICEF) to encourage and recognize hospitals and birth centers that offer an optimal level of care for lactation based on the TEN STEPS to Successful Breastfeeding and the International Code of Marketing of Breast-milk substitutes1313Source Baby Friendly USA Baby Friendly Hospitals and Birth Centers designated as of June 2018 Available at httpwwwbabyfriendlyusaorg13 Baby Friendly USA reviewed policies and reviewed all criteria to get he designating as baby friendly Many hospitals implement the 10 steps without official baby friendly designation

How you can support breastfeeding

bull Prenatal breastfeeding education

bull Maternity centers show mothers how to breastfeed-early and often

bull Support after hospital discharge

Presenter
Presentation Notes
Remember the goal here is to concentrate on the steps that have the most evidence1313Ask for or help develop opportunities for prenatal breastfeeding education1313Maternity centers can show mothers how to breastfeed early and often Skin to skin without 30 minutes to 1 hour (vag) 30 min to 2 hours for c sect1313Support mothers and babies after discharge through peer support program breast feeding programs at early child education centers and support in workplace

Breastfeeding Improves Nutrition and is an Investment In Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to write down any questions you may have about Breast Feeding Initiative or breastfeeding in general while you listen to my friend and colleague Lori talk about how food service guidelines improve nutrition and is an investment in health

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Discuss lifespan of how we work with infants preschool school age and adults 13

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Dawn ldquoNow Irsquom going to let my friend and colleague Loti show you how food service guidelines improves nutrition and is an investment in health ldquo13____________________________________________________________________________________________________________________________________________________________________________13Lori Thank you Dawn for setting the stage 13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Donuts on the counterbull Chocolate or candy from your snack drawerbull Food from the vending machinebull Walk to the cafeteria or store for a healthy option

Itrsquos 3pm you worked through lunch and your belly is growling

Food Service Guidelines

Presenter
Presentation Notes
What we eat and drink impacts our health but we tend to eat whatrsquos readily available 1313Food Service Guidelines represent a voluntary set of best business practices that ensure safe healthy food options are available13The availability of healthy affordable foods contributes to a personrsquos diet and risk of diet-related chronic diseases13Fewer than 1 in 10 adults eat the recommended daily amount of fruits and vegetables1313What we eat and drink impacts our health but we tend to eat whatrsquos readily available 13The average American consuming more than one-third of their calories through foods prepared away from home organizations across Alaska and the country are realizing that the foods and beverages they offer at their work sites provide a significant opportunity to promote and improve employee health13Making healthier food and beverages available in public places lets families employees patients and children 13Eat healthy13Helps prevent weight gain and diseases like type 2 diabetes cancer and heart disease13

Food Service Guidelines

Goalsbull Healthier foods and

beverages bull Support local food

sourcing

Presenter
Presentation Notes
Healthier food and beverages available (cafeterias workplace coffee shops schools etc1313Local Food Sourcing includes farmers markets including at your work site mom and pop stores cars microgreens from Talkeetna that deliver to Anchorage seafood at farmers markets 1313Example Farm to table with our local farmers market in anchorage brought local chickens from homer to anchorage Previously available only sold to grocery stores and now available to direct consumers

Healthy Food Initiative

bull Established partnership with Alaska Native Tribal Health Consortium (ANTHC)bull Campus Healthy Food Project (CHeF)

bull Vending bull Coffee Cartsbull Cafeteriasbull Mini-Stores

Presenter
Presentation Notes
talk about ANTHC includes SCF and ANMC when the term campus is used give examples of food service facilities (vending coffee carts cafeterias mini-stores give counts for the campus talk about why this is a good location worksite lots of visitors of workers potentially impacted and visitor if you know those

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Presenter
Presentation Notes
I am going to walk through different examples of this wheel showing how Food Services Guidelines are developed and implemented For example understanding and knowing your leadership

Engage Stakeholders and Partners

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Community Support

Positive Responses ldquoThey taste greatrdquoldquoI like to feel energizedrdquo ldquoIt makes me feel more productive at workrdquo

bull Employees feel supportedbull Encouraged to take better

care of themselves bull Appreciate having healthy

options

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Food and Beverage Assessment

Examples include bull Fruit and Vegetablesbull Grainsbull Dairybull Beveragesbull Nutritional Labeling

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Update Food and Beverage Policy

bull Traditional Foods introduced into hospitals

bull Soda free Campus

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Review Purchasing and Agreement

Process for purchasing agreements

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Communication Strategies

Healthy Food Choices

Benefitsbull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancers

Source Dietary Guidelines for Americans 2015-2020 Eight Edition (pg 17)

Presenter
Presentation Notes
httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Fruit on the counterbull Nuts from your snack drawerbull Healthy Food from the vending machinebull Drive your car to the closest fast food joint

Itrsquos 3pm you worked through lunch and your belly is growling

Presenter
Presentation Notes
Making the healthy choice the easy choice

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to save any questions you may have while you listen to my friend and colleague Dawn talk about how active transportation improves physical activity and is an investment in health 13

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Active Transportation is a strategy to increase physical activity and works across the lifespan Think of strollering baby to a park walking child to day care school or the rest of us using active transportation to walk bike or bus to any destination we desire

Active Transportation Improves Physical Activity and is

an Investment in Health

Presenter
Presentation Notes
Imagine how much PA you would each tally if everyday you had a activity friendly route (safe route to walk your kids to school use transit carpool bike to meet friends at a restaurant grab groceries or arrive work Of course this would mean you would get more physical activity

Safer and Healthier Streets for EVERYONE

Active Transportation Initiative

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

2018 Physical Activity Guidelines

Adultsbull 150 minutes moderate

intensity per week

School-agebull 60 minutes or more every

day

Preschool bull Active throughout the day

httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf

Presenter
Presentation Notes
The Physical Activity Guidelines for Americans is issues by the US Dept of Health and Human Services The primary audience is policy makers and health professionals though it may also be interesting to members of the public The main ide behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits 1313Key Guidelines1313Adults should move more and sit less throughout the day Some physical activity is better than none 22 minutes or more every day combination of moderate and vigorous intensity with 2 or more days a week of muscle strengthening 1313School-age appropriate to age and enjoyable variety1313Preschool variety of active play throughout the day1313Source httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf1313So we know the guidelines for PA now13

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 9: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Breastfeeding Improves Nutrition and is an Investment in Health

Source httpswwwcdcgovbrestfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Lori ldquoNow Irsquom going to let my friend and colleague Dawn show you how breastfeeding improves nutrition and is an investment in health ldquo13____________________________________________________________________________________________________________________________________________________________________________13Dawn Thank you Lori for setting the stage 1313Foreword from the Surgeon General US Department of Health and Human Services Regina M Benjamin MD MBA1313The Surgeon General says ldquo 13ldquoFor nearly all infants breastfeeding is the best source of infant nutrition and immunization protection and it provides remarkable health benefits to mothers as well Babies who are breastfed are less likely to become overweight and obese ldquo131313And yet within only three months after giving birth more than two-thirds of breastfeeding mothers have already begun using formula By six months postpartum more than half of mothers have given up on breastfeeding and mothers who breastfeed one-year-olds or toddlers are a rarity in our societyrdquo1313US Department of Health and Human Services The Surgeon Generalrsquos Call to Action to Support Breastfeeding Washington DC US Department of Health and Human Services Office of the Surgeon General 20111313

Alaska Breastfeeding Initiative

Presenter
Presentation Notes
Irsquom going to talk about Alaska Breastfeeding Initiative- and the evidence based strategies we are working on throughout Alaska 1313131313httpspediatricsaappublicationsorgcontent1293e827fullcontent-block- AAP endorses TEN STEPS TO SUCCESSFUL BREASTFEEDING1313Hospital practices in the first hours and days after birth make the difference in whether and how long babies are breastfed Remember that is Step 4-9 13Step 4- help mothers initiate breastfeed asap (skin to skin)13Step 5- show mothers how to latch13Step 6- only breastmilk unless formula medically necessary13Step 7- Rooming in13Step 8- Breastfeeding on demand13Step 9 no pacifiers13 1313The International Code Marketing of Breastmilk Substitutes by offering education and educational material that promote human milk rather than other food and drinks and by refusing to accept or distribute free or subsidized supplies of breastmilk substitutes nipples and other feeding devices 1313of commercial discharge packs which contain samples of breastmilk substitutes adversely affects breastfeeding and there is no justification for giving them Second discontinuing the provision of formula in maternity facilities has been shown to be one of the most cost-effective health interventions known1313Hospital routines can help or hinder new mothers and babies while theyrsquore learning to breastfeed 131313CDCrsquos national survey of Maternity Practices in Infant Nutrition and Care (mPINC) is administered every two years to monitor and examine changes in practices over time at all hospitals and birth centers with registered maternity beds in the United States and Territories1313So our work will be officially evaluated by CDC in 2021 and results available 2022 1313But we are doing internal programmatic evaluations every year with the hospitals we have offered TEN STEP training 13We are offering technical assistance and sharing model TEN STEP POLICIES 13We recently helped Fairbanks write a grant to receive funds to concentrate specifically on the most evidenced steps I mentioned earlier STEP 3- prenatal and Step 10 community support 1313

1

image1png

Benefits of Breastfeeding

bull Obesitybull Type 2 Diabetesbull Sudden infant death

syndromebull High blood pressurebull Certain cancers

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
BREASTFEEDING IS AN INVESTMENT IN HEALTH NOT JUST A LIFESTYLE DECISION 1313BENEFITS FOR INFANTS 13Infants who are breastfed have reduced risks of bull Asthma bull Obesity bull Type 1 diabetes bull Severe lower respiratory disease bull Acute otitis media (ear infections) bull Sudden infant death syndrome (SIDS) bull Gastrointestinal infections (diarrheavomiting) bull 1313BENEFITS FOR MOTHERS 13Breastfeeding can help lower a motherrsquos risk of bull High blood pressure bull Type 2 diabetes bull Ovarian cancer bull Breast cancer 131313Breastfeeding provides unmatched health benefits for babies and mothers It is the clinical gold standard for infant feeding and nutrition with breast milk uniquely tailored to meet the health needs of a growing baby We must do more to create supportive and safe environments for mothers who choose to breastfeed Dr Ruth Petersen Director of CDCrsquos Division of Nutrition Physical Activity and Obesity 1313Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

American Academy of Pediatrics (AAP)Recommendations

bull Exclusive breastfeeding for about 6 months

bull Introduce foods at about 6 months

bull Continued breastfeeding 12 months or longer

Source Pediatrics March 2012 129 (3) e827-e841 DOI httpsdoiorg101542peds2011-3552

Presenter
Presentation Notes
13Breastfeeding is a natural and beneficial source of nutrition and provides the healthiest start for an infant and promotes a unique and emotional connection between mother and baby 1313The AAP policy Breastfeeding and the Use of Human Milk is one of the most accessed policies available from the AAP because of its importance for the health of families here in the US and throughout the world1313In the policy statement Breastfeeding and the Use of Human Milk published in the March 2012 issue of Pediatrics (published online Feb 27) the American Academy of Pediatrics (AAP) reaffirmed its recommendation of exclusive breastfeeding for about the first six months of a babys life followed by breastfeeding in combination with the introduction of complementary foods until at least 12 months of age and continuation of breastfeeding for as long as mutually desired by mother and baby 131313Source Pediatrics March 2012 129 (3) e827-e841 DOI httpsdoiorg101542peds2011-3552 13Source httpswwwaaporgen-usabout-the-aapaap-press-roompagesaap-reaffirms-breastfeeding-guidelinesaspx131313

Letrsquos monitor how Alaska is doing

Presenter
Presentation Notes
Letrsquos monitor how Alaska is doing according to Mothers and Hospital reports

Alaska PRAMS

What mothers report

Presenter
Presentation Notes
13Two reports that use CDC PRAMS as a Data Source 13httpdhssalaskagovdphChronicDocumentsObesitypubs2019ChildhoodPAN_Factspdf131313PRAMS started as an initiative to reduce infant mortality and low birthweight Three states do not participate CA ID and OH just interesting I will not share 1313Surveys mailed to women CDC survey ~150month telephone calls attempted to women who do not respond by mail Survey of mothers health before during and after pregnancy 13Birth records available when baby minimum of 2 months and a maximum of 6 months13Women whose babies have died are still included letters specific for grieving mothers are mailed out in these situations 13When birth multiple one infant is randomly selected and pending adopts are included as long as biological mother is identified on birth record13Randomly samples approximately 16 of all live births in Alaska13Alaskarsquos population is ~ 73700013About 66 are white 15 Alaska NativeAmerican Indian13Alaska PRAMS eligible population is ~11000yr13About 65 are white 25 Alaska Native13We were the 7th state to join PRAMS (now 47)13Wersquove collected 30 years of data (since 1990)13

Breastfeeding initiation 2017

bull Initiation rate of 93 top in the country (US Avg 88)bull Disparities exist but we know mothers of all ages race and

income levels can be successful at breastfeeding

httpdhssalaskagovdphChronicDocumentsObesitypubs2019ChildhoodPAN_Factspdf

Presenter
Presentation Notes
the surgeon general goes on to say ldquoMany mothers in the United States want to breastfeed and most tryrdquo Remember this is Step 4 of Ten Steps ldquoHelp Mother Breastfeedrdquo

Any breastfeeding at 8 weeks 2016

Source Alaska PRAMS FPL = Federal Poverty Level Note US value is from 2015 and based on weighted mean of 35 participating PRAMS programs meeting required response rate threshold set by CDC Source 2015 Alaska PRAMS survey (Pregnancy

Risk Assessment Monitoring System)

bull 8-week rate of 83 far exceeds the US bull Mothers of all ages race and income levels can be successful

at breastfeeding

Presenter
Presentation Notes
the surgeon general goes on to say ldquoMany mothers in the United States want to breastfeed and most tryrdquo 131313 And yet within only three months after giving birth more than two-thirds of breastfeeding mothers have already begun using formula By six months postpartum more than half of mothers have given up on breastfeeding and mothers who breastfeed one-year-olds or toddlers are a rarity in our societyrdquo131313Could be related to Step 3 Prenatal education Step 5 Show mothers how to breastfeed and how to maintain lactation even if separated from baby Step 10 Community Support 1313quote I read earlier ldquomany mothers in the US want to breastfeed and most tryrdquo Alaska is much the same Alaskarsquos high breastfeeding initiation rates show that most mothers in the AK want to breastfeed and start out doing so1313Overall AK rates exceed US rates You can see Alaskarsquos 8-week breastfeeding rate of 83 far exceeds the US comparison at 661313Younger and older mothers can both be successful at breastfeeding 1313mothers of all races and income level can do well with breastfeeding 1313Women with limited economic means can achieve breastfeeding1313Mothers of all ages race and income levels can be successful with breastfeeding 1313Source Alaska PRAMS FPL = Federal Poverty Level Note US value is from 2015 and based on weighted mean of 35 participating PRAMS programs meeting required response rate threshold set by CDC 1313Source Alaska Maternal and Child Health Data Book 2018 PRAMS edition1313

Why do Alaska mothers report stop breastfeeding

before their babies are 8 weeks old

bull Return to work or schoolbull No timebull No placebull Too painfulbull Not enough milk

Source 2015 Alaska PRAMS survey (Pregnancy Risk Assessment Monitoring System)

Presenter
Presentation Notes
According to the httpdhssalaskagovdphwcfhDocumentsmchepipramsAlaska_Breastfeeding_Topic_Report_2012-2014pdf

Alaska PRAMS Reports

By 8 weeks post-partum 50 of the mothers who stopped breastfeeding reported doing so because they thought that they did not have enough milk

20

SourcehttpdhssalaskagovdphwcfhDocumentsmchepipramsAlaska_Breastfeeding_Topic_Report_2012-2014pdf

Presenter
Presentation Notes
Mothers reported stopping because they felt they did not have enough milk Remember when I mentioned that the steps with the most evidence The TENS STEPS can educate mothers about how to realize if babies are getting enough milk 131313This information is from the 2015 Alaska PRAMS survey (Pregnancy Risk Assessment Monitoring System)13PRAMS asks Alaskan mothers for information about breastfeeding about 3-4 months after delivery1313PRAM is Randomly samples approximately 16 of all live births in Alaska13Alaskarsquos population is ~ 73230013About 71 are white 17 Alaska Native13Alaska PRAMS eligible population is ~11000yr13About 65 are white 25 Alaska Native13We were the 7th state to join PRAMS (now 40)13Wersquove collected 25 years of data (since 1990)1313Monthly batch sampled from Bureau of Vital Statistics birth records13Teenage mothers are included13PRAMS data are linked to the birth certificate13Higher risk moms are oversampled13Primarily mail w phone follow-up132-6 months after birth13Allows for postpartum questions 132 months (8 weeks) is the maximum age where all respondents are eligible to answer1313131313Mothers need good educationinformation about breastfeeding and baby health and behaviors1313This point many potential factors13motherrsquos lack of knowledge of baby behaviorhelliphelliphelliphellipcrying is not early cue13Latch issues13Checking wet diapers poo13Checking babyrsquos weight1313Any IBCLCs here 1313If mothers and babies donrsquot breastfeeding after 8 weekshelliphelliphelliphelliphellip1313The ten steps address thishelliphelliphelliphelliptalk about how13

Hospitals report

Presenter
Presentation Notes
In October 2003 CDC convened an expert panel of researchers with specific experience in surveillance and monitoring of hospital practices related to breastfeeding At the time no system in the US collected nationally representative data on these practices The Expert Panelrsquos recommendation was to establish an ongoing national system to monitor and evaluate hospital practices related to breastfeeding among all facilities that routinely provide intrapartum care in the US1313In 2007 CDC administered the first national survey of maternity practices related to breastfeeding known as the mPINC survey It is administered every two years to every facility in the US that routinely provides maternity care services and is completed by a key informant on behalf of his or her institution in their capacity as the person most knowledgeable about the relevant practices13

Ten Steps to Successful Breastfeeding Evidence-Based

Presenter
Presentation Notes
Ten Steps to Successful Breastfeeding in both these documents as evidence based strategies to improve breastfeeding outcomes
Presenter
Presentation Notes
13Ten steps ndashoverviewhelliplist all ten1313The ten steps to successful breastfeeding include 131 Hospital breastfeeding policies- that address all TEN STEPS 132 Staff education of breastfeeding best practices and even a designated staff member responsible for lactation support133 Pre an post partum breastfeeding education134 Help mothers breastfeed within the first birth hour135 Who mothers how to breastfeed and how to maintain lactation if separated from baby136 No formula unless medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers1310 And out of hospital community support where does mother find help at 2am if she needs breastfeeding support and assistance13131313ABI is the only effort in Alaska address steps 1-10 with birthing center staff 1313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum13
Presenter
Presentation Notes
5 Who mothers how to breastfeed and how to maintain lactation if separated from baby136 No formula unless medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers1310 And out of hospital community support where does mother find help at 2am if she needs breastfeeding support and assistance1313ABI is the only effort in Alaska address steps 1-10 with birthing center staff 1313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum131313Ten steps ndashoverviewhelliplist all ten1313The ten steps to successful breastfeeding include 131 Hospital breastfeeding policies- that address all TEN STEPS 132 Staff education of breastfeeding best practices133 Pre an post partum breastfeeding education for mothers and families134 Help mothers breastfeed within the first birth hour vag 2 hours csect135 Show mothers how to breastfeed and how to maintain lactation if separated from baby136 formula only if medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day- infant procedures to occur in same room as mother138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers for 1st 48 hours1310 And out of hospital community support where does mother go at 2am if she needs breastfeeding support and assistance1313ABI is the only effort in Alaska address steps 1-7 with birthing center staff 1313How to improve rate 1313Research shows certain steps have strongest evidence 13The steps with most evidence will get more attention in my talk and in our program131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum13

Steps with most evidencemPINC results 2009-2015

13

16

79

74

85

19

39

90

89

93

24

57

62

70

90

All Ten Step policies

Community support

Show mothers how to feed

Prenatal education

Early contact and feeding

2015

2013

2009

Source CDC mPINC 200920132015

Presenter
Presentation Notes
This shows mPINC data from 2009 (before Alaska Breastfeeding Initiative kicked off in 2012)13132009 before ABI 132013 data collected during 2012 when ABI started itrsquos work on improving breast feeding outcomes through TEN STEPS132015 data collected during 2014 Akrsquos score (out of 100) remained the same No big leaps as seen from 2009-131313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 13

Alaska Breastfeeding Initiative

Presenter
Presentation Notes
httpspediatricsaappublicationsorgcontent1293e827fullcontent-block- AAP endorses TEN STEPS TO SUCCESSFUL BREASTFEEDING1313Hospital practices in the first hours and days after birth make the difference in whether and how long babies are breastfed Remember that is Step 4-9 13Step 4- help mothers initiate breastfeed asap (skin to skin)13Step 5- show mothers how to latch13Step 6- only breastmilk unless formula medically necessary13Step 7- Rooming in13Step 8- Breastfeeding on demand13Step 9 no pacifiers13 1313The International Code Marketing of Breastmilk Substitutes by offering education and educational material that promote human milk rather than other food and drinks and by refusing to accept or distribute free or subsidized supplies of breastmilk substitutes nipples and other feeding devices 1313of commercial discharge packs which contain samples of breastmilk substitutes adversely affects breastfeeding and there is no justification for giving them Second discontinuing the provision of formula in maternity facilities has been shown to be one of the most cost-effective health interventions known1313Hospital routines can help or hinder new mothers and babies while theyrsquore learning to breastfeed 131313CDCrsquos national survey of Maternity Practices in Infant Nutrition and Care (mPINC) is administered every two years to monitor and examine changes in practices over time at all hospitals and birth centers with registered maternity beds in the United States and Territories1313So our work will be officially evaluated by CDC in 2021 and results available 2022 1313But we are doing internal programmatic evaluations every year with the hospitals we have offered TEN STEP training 13We are offering technical assistance and sharing model TEN STEP POLICIES 13We recently helped Fairbanks write a grant to receive funds to concentrate specifically on the most evidenced steps I mentioned earlier STEP 3- prenatal and Step 10 community support 1313

1

image1png

Work on all strategies at once

Presenter
Presentation Notes
Our program WIC ABC many hospitals and ABI and partners are working on all 9 of CDC Guide to Strategies to Support Breastfeeding Mothers and Babies 1313That last one ldquoaddressing marketing of infant formulardquo is part of the 1313Strategy 9 is referred to you make hear it called the International Code of Marketing of Breast-milk Substitutes which means 13httpswwwcdcgovbreastfeedingpdfBF_guide_7pdf1313httpswwwcdcgovbreastfeedingpdfBF_guide_7pdf1313The International Code recommends 13No advertising of breast-milk substitutes directly to the public 13No free samples to mothers 13No promotion of products in health care facilities 13No commercial product representatives to advise mothers 13No gifts or personal samples to health workers 13No words or pictures idealizing artificial feeding including pictures of infants on the products 1313The International Code also states 13Information to health workers should be scientific and factual 13All information on artificial feeding including the labels should explain the benefits of breastfeeding and the costs and hazards associated with artificial feeding 13Unsuitable products such as condensed milk should not be promoted for babies 13All products should be of a high quality and take into account the climatic and storage conditions of the country where they are used 13131313

2019 Alaska Baby Friendly Hospitals

Over the Last 5 Years (2014-2019)

20 of all births will occur in baby friendly hospitalsbull Representing 55 of Alaska Natives

Source 2019 Alaska HAVRS (Number of births Alaska Native births)

Presenter
Presentation Notes
The baby friendly hospital initiative is a global program sponsored by the WHO and United Nations Childrens Fund (UNICEF) to encourage and recognize hospitals and birth centers that offer an optimal level of care for lactation based on the TEN STEPS to Successful Breastfeeding and the International Code of Marketing of Breast-milk substitutes1313Source Baby Friendly USA Baby Friendly Hospitals and Birth Centers designated as of June 2018 Available at httpwwwbabyfriendlyusaorg13 Baby Friendly USA reviewed policies and reviewed all criteria to get he designating as baby friendly Many hospitals implement the 10 steps without official baby friendly designation

How you can support breastfeeding

bull Prenatal breastfeeding education

bull Maternity centers show mothers how to breastfeed-early and often

bull Support after hospital discharge

Presenter
Presentation Notes
Remember the goal here is to concentrate on the steps that have the most evidence1313Ask for or help develop opportunities for prenatal breastfeeding education1313Maternity centers can show mothers how to breastfeed early and often Skin to skin without 30 minutes to 1 hour (vag) 30 min to 2 hours for c sect1313Support mothers and babies after discharge through peer support program breast feeding programs at early child education centers and support in workplace

Breastfeeding Improves Nutrition and is an Investment In Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to write down any questions you may have about Breast Feeding Initiative or breastfeeding in general while you listen to my friend and colleague Lori talk about how food service guidelines improve nutrition and is an investment in health

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Discuss lifespan of how we work with infants preschool school age and adults 13

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Dawn ldquoNow Irsquom going to let my friend and colleague Loti show you how food service guidelines improves nutrition and is an investment in health ldquo13____________________________________________________________________________________________________________________________________________________________________________13Lori Thank you Dawn for setting the stage 13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Donuts on the counterbull Chocolate or candy from your snack drawerbull Food from the vending machinebull Walk to the cafeteria or store for a healthy option

Itrsquos 3pm you worked through lunch and your belly is growling

Food Service Guidelines

Presenter
Presentation Notes
What we eat and drink impacts our health but we tend to eat whatrsquos readily available 1313Food Service Guidelines represent a voluntary set of best business practices that ensure safe healthy food options are available13The availability of healthy affordable foods contributes to a personrsquos diet and risk of diet-related chronic diseases13Fewer than 1 in 10 adults eat the recommended daily amount of fruits and vegetables1313What we eat and drink impacts our health but we tend to eat whatrsquos readily available 13The average American consuming more than one-third of their calories through foods prepared away from home organizations across Alaska and the country are realizing that the foods and beverages they offer at their work sites provide a significant opportunity to promote and improve employee health13Making healthier food and beverages available in public places lets families employees patients and children 13Eat healthy13Helps prevent weight gain and diseases like type 2 diabetes cancer and heart disease13

Food Service Guidelines

Goalsbull Healthier foods and

beverages bull Support local food

sourcing

Presenter
Presentation Notes
Healthier food and beverages available (cafeterias workplace coffee shops schools etc1313Local Food Sourcing includes farmers markets including at your work site mom and pop stores cars microgreens from Talkeetna that deliver to Anchorage seafood at farmers markets 1313Example Farm to table with our local farmers market in anchorage brought local chickens from homer to anchorage Previously available only sold to grocery stores and now available to direct consumers

Healthy Food Initiative

bull Established partnership with Alaska Native Tribal Health Consortium (ANTHC)bull Campus Healthy Food Project (CHeF)

bull Vending bull Coffee Cartsbull Cafeteriasbull Mini-Stores

Presenter
Presentation Notes
talk about ANTHC includes SCF and ANMC when the term campus is used give examples of food service facilities (vending coffee carts cafeterias mini-stores give counts for the campus talk about why this is a good location worksite lots of visitors of workers potentially impacted and visitor if you know those

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Presenter
Presentation Notes
I am going to walk through different examples of this wheel showing how Food Services Guidelines are developed and implemented For example understanding and knowing your leadership

Engage Stakeholders and Partners

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Community Support

Positive Responses ldquoThey taste greatrdquoldquoI like to feel energizedrdquo ldquoIt makes me feel more productive at workrdquo

bull Employees feel supportedbull Encouraged to take better

care of themselves bull Appreciate having healthy

options

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Food and Beverage Assessment

Examples include bull Fruit and Vegetablesbull Grainsbull Dairybull Beveragesbull Nutritional Labeling

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Update Food and Beverage Policy

bull Traditional Foods introduced into hospitals

bull Soda free Campus

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Review Purchasing and Agreement

Process for purchasing agreements

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Communication Strategies

Healthy Food Choices

Benefitsbull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancers

Source Dietary Guidelines for Americans 2015-2020 Eight Edition (pg 17)

Presenter
Presentation Notes
httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Fruit on the counterbull Nuts from your snack drawerbull Healthy Food from the vending machinebull Drive your car to the closest fast food joint

Itrsquos 3pm you worked through lunch and your belly is growling

Presenter
Presentation Notes
Making the healthy choice the easy choice

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to save any questions you may have while you listen to my friend and colleague Dawn talk about how active transportation improves physical activity and is an investment in health 13

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Active Transportation is a strategy to increase physical activity and works across the lifespan Think of strollering baby to a park walking child to day care school or the rest of us using active transportation to walk bike or bus to any destination we desire

Active Transportation Improves Physical Activity and is

an Investment in Health

Presenter
Presentation Notes
Imagine how much PA you would each tally if everyday you had a activity friendly route (safe route to walk your kids to school use transit carpool bike to meet friends at a restaurant grab groceries or arrive work Of course this would mean you would get more physical activity

Safer and Healthier Streets for EVERYONE

Active Transportation Initiative

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

2018 Physical Activity Guidelines

Adultsbull 150 minutes moderate

intensity per week

School-agebull 60 minutes or more every

day

Preschool bull Active throughout the day

httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf

Presenter
Presentation Notes
The Physical Activity Guidelines for Americans is issues by the US Dept of Health and Human Services The primary audience is policy makers and health professionals though it may also be interesting to members of the public The main ide behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits 1313Key Guidelines1313Adults should move more and sit less throughout the day Some physical activity is better than none 22 minutes or more every day combination of moderate and vigorous intensity with 2 or more days a week of muscle strengthening 1313School-age appropriate to age and enjoyable variety1313Preschool variety of active play throughout the day1313Source httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf1313So we know the guidelines for PA now13

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 10: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Breastfeeding Improves Nutrition and is an Investment in Health

Source httpswwwcdcgovbrestfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Lori ldquoNow Irsquom going to let my friend and colleague Dawn show you how breastfeeding improves nutrition and is an investment in health ldquo13____________________________________________________________________________________________________________________________________________________________________________13Dawn Thank you Lori for setting the stage 1313Foreword from the Surgeon General US Department of Health and Human Services Regina M Benjamin MD MBA1313The Surgeon General says ldquo 13ldquoFor nearly all infants breastfeeding is the best source of infant nutrition and immunization protection and it provides remarkable health benefits to mothers as well Babies who are breastfed are less likely to become overweight and obese ldquo131313And yet within only three months after giving birth more than two-thirds of breastfeeding mothers have already begun using formula By six months postpartum more than half of mothers have given up on breastfeeding and mothers who breastfeed one-year-olds or toddlers are a rarity in our societyrdquo1313US Department of Health and Human Services The Surgeon Generalrsquos Call to Action to Support Breastfeeding Washington DC US Department of Health and Human Services Office of the Surgeon General 20111313

Alaska Breastfeeding Initiative

Presenter
Presentation Notes
Irsquom going to talk about Alaska Breastfeeding Initiative- and the evidence based strategies we are working on throughout Alaska 1313131313httpspediatricsaappublicationsorgcontent1293e827fullcontent-block- AAP endorses TEN STEPS TO SUCCESSFUL BREASTFEEDING1313Hospital practices in the first hours and days after birth make the difference in whether and how long babies are breastfed Remember that is Step 4-9 13Step 4- help mothers initiate breastfeed asap (skin to skin)13Step 5- show mothers how to latch13Step 6- only breastmilk unless formula medically necessary13Step 7- Rooming in13Step 8- Breastfeeding on demand13Step 9 no pacifiers13 1313The International Code Marketing of Breastmilk Substitutes by offering education and educational material that promote human milk rather than other food and drinks and by refusing to accept or distribute free or subsidized supplies of breastmilk substitutes nipples and other feeding devices 1313of commercial discharge packs which contain samples of breastmilk substitutes adversely affects breastfeeding and there is no justification for giving them Second discontinuing the provision of formula in maternity facilities has been shown to be one of the most cost-effective health interventions known1313Hospital routines can help or hinder new mothers and babies while theyrsquore learning to breastfeed 131313CDCrsquos national survey of Maternity Practices in Infant Nutrition and Care (mPINC) is administered every two years to monitor and examine changes in practices over time at all hospitals and birth centers with registered maternity beds in the United States and Territories1313So our work will be officially evaluated by CDC in 2021 and results available 2022 1313But we are doing internal programmatic evaluations every year with the hospitals we have offered TEN STEP training 13We are offering technical assistance and sharing model TEN STEP POLICIES 13We recently helped Fairbanks write a grant to receive funds to concentrate specifically on the most evidenced steps I mentioned earlier STEP 3- prenatal and Step 10 community support 1313

1

image1png

Benefits of Breastfeeding

bull Obesitybull Type 2 Diabetesbull Sudden infant death

syndromebull High blood pressurebull Certain cancers

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
BREASTFEEDING IS AN INVESTMENT IN HEALTH NOT JUST A LIFESTYLE DECISION 1313BENEFITS FOR INFANTS 13Infants who are breastfed have reduced risks of bull Asthma bull Obesity bull Type 1 diabetes bull Severe lower respiratory disease bull Acute otitis media (ear infections) bull Sudden infant death syndrome (SIDS) bull Gastrointestinal infections (diarrheavomiting) bull 1313BENEFITS FOR MOTHERS 13Breastfeeding can help lower a motherrsquos risk of bull High blood pressure bull Type 2 diabetes bull Ovarian cancer bull Breast cancer 131313Breastfeeding provides unmatched health benefits for babies and mothers It is the clinical gold standard for infant feeding and nutrition with breast milk uniquely tailored to meet the health needs of a growing baby We must do more to create supportive and safe environments for mothers who choose to breastfeed Dr Ruth Petersen Director of CDCrsquos Division of Nutrition Physical Activity and Obesity 1313Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

American Academy of Pediatrics (AAP)Recommendations

bull Exclusive breastfeeding for about 6 months

bull Introduce foods at about 6 months

bull Continued breastfeeding 12 months or longer

Source Pediatrics March 2012 129 (3) e827-e841 DOI httpsdoiorg101542peds2011-3552

Presenter
Presentation Notes
13Breastfeeding is a natural and beneficial source of nutrition and provides the healthiest start for an infant and promotes a unique and emotional connection between mother and baby 1313The AAP policy Breastfeeding and the Use of Human Milk is one of the most accessed policies available from the AAP because of its importance for the health of families here in the US and throughout the world1313In the policy statement Breastfeeding and the Use of Human Milk published in the March 2012 issue of Pediatrics (published online Feb 27) the American Academy of Pediatrics (AAP) reaffirmed its recommendation of exclusive breastfeeding for about the first six months of a babys life followed by breastfeeding in combination with the introduction of complementary foods until at least 12 months of age and continuation of breastfeeding for as long as mutually desired by mother and baby 131313Source Pediatrics March 2012 129 (3) e827-e841 DOI httpsdoiorg101542peds2011-3552 13Source httpswwwaaporgen-usabout-the-aapaap-press-roompagesaap-reaffirms-breastfeeding-guidelinesaspx131313

Letrsquos monitor how Alaska is doing

Presenter
Presentation Notes
Letrsquos monitor how Alaska is doing according to Mothers and Hospital reports

Alaska PRAMS

What mothers report

Presenter
Presentation Notes
13Two reports that use CDC PRAMS as a Data Source 13httpdhssalaskagovdphChronicDocumentsObesitypubs2019ChildhoodPAN_Factspdf131313PRAMS started as an initiative to reduce infant mortality and low birthweight Three states do not participate CA ID and OH just interesting I will not share 1313Surveys mailed to women CDC survey ~150month telephone calls attempted to women who do not respond by mail Survey of mothers health before during and after pregnancy 13Birth records available when baby minimum of 2 months and a maximum of 6 months13Women whose babies have died are still included letters specific for grieving mothers are mailed out in these situations 13When birth multiple one infant is randomly selected and pending adopts are included as long as biological mother is identified on birth record13Randomly samples approximately 16 of all live births in Alaska13Alaskarsquos population is ~ 73700013About 66 are white 15 Alaska NativeAmerican Indian13Alaska PRAMS eligible population is ~11000yr13About 65 are white 25 Alaska Native13We were the 7th state to join PRAMS (now 47)13Wersquove collected 30 years of data (since 1990)13

Breastfeeding initiation 2017

bull Initiation rate of 93 top in the country (US Avg 88)bull Disparities exist but we know mothers of all ages race and

income levels can be successful at breastfeeding

httpdhssalaskagovdphChronicDocumentsObesitypubs2019ChildhoodPAN_Factspdf

Presenter
Presentation Notes
the surgeon general goes on to say ldquoMany mothers in the United States want to breastfeed and most tryrdquo Remember this is Step 4 of Ten Steps ldquoHelp Mother Breastfeedrdquo

Any breastfeeding at 8 weeks 2016

Source Alaska PRAMS FPL = Federal Poverty Level Note US value is from 2015 and based on weighted mean of 35 participating PRAMS programs meeting required response rate threshold set by CDC Source 2015 Alaska PRAMS survey (Pregnancy

Risk Assessment Monitoring System)

bull 8-week rate of 83 far exceeds the US bull Mothers of all ages race and income levels can be successful

at breastfeeding

Presenter
Presentation Notes
the surgeon general goes on to say ldquoMany mothers in the United States want to breastfeed and most tryrdquo 131313 And yet within only three months after giving birth more than two-thirds of breastfeeding mothers have already begun using formula By six months postpartum more than half of mothers have given up on breastfeeding and mothers who breastfeed one-year-olds or toddlers are a rarity in our societyrdquo131313Could be related to Step 3 Prenatal education Step 5 Show mothers how to breastfeed and how to maintain lactation even if separated from baby Step 10 Community Support 1313quote I read earlier ldquomany mothers in the US want to breastfeed and most tryrdquo Alaska is much the same Alaskarsquos high breastfeeding initiation rates show that most mothers in the AK want to breastfeed and start out doing so1313Overall AK rates exceed US rates You can see Alaskarsquos 8-week breastfeeding rate of 83 far exceeds the US comparison at 661313Younger and older mothers can both be successful at breastfeeding 1313mothers of all races and income level can do well with breastfeeding 1313Women with limited economic means can achieve breastfeeding1313Mothers of all ages race and income levels can be successful with breastfeeding 1313Source Alaska PRAMS FPL = Federal Poverty Level Note US value is from 2015 and based on weighted mean of 35 participating PRAMS programs meeting required response rate threshold set by CDC 1313Source Alaska Maternal and Child Health Data Book 2018 PRAMS edition1313

Why do Alaska mothers report stop breastfeeding

before their babies are 8 weeks old

bull Return to work or schoolbull No timebull No placebull Too painfulbull Not enough milk

Source 2015 Alaska PRAMS survey (Pregnancy Risk Assessment Monitoring System)

Presenter
Presentation Notes
According to the httpdhssalaskagovdphwcfhDocumentsmchepipramsAlaska_Breastfeeding_Topic_Report_2012-2014pdf

Alaska PRAMS Reports

By 8 weeks post-partum 50 of the mothers who stopped breastfeeding reported doing so because they thought that they did not have enough milk

20

SourcehttpdhssalaskagovdphwcfhDocumentsmchepipramsAlaska_Breastfeeding_Topic_Report_2012-2014pdf

Presenter
Presentation Notes
Mothers reported stopping because they felt they did not have enough milk Remember when I mentioned that the steps with the most evidence The TENS STEPS can educate mothers about how to realize if babies are getting enough milk 131313This information is from the 2015 Alaska PRAMS survey (Pregnancy Risk Assessment Monitoring System)13PRAMS asks Alaskan mothers for information about breastfeeding about 3-4 months after delivery1313PRAM is Randomly samples approximately 16 of all live births in Alaska13Alaskarsquos population is ~ 73230013About 71 are white 17 Alaska Native13Alaska PRAMS eligible population is ~11000yr13About 65 are white 25 Alaska Native13We were the 7th state to join PRAMS (now 40)13Wersquove collected 25 years of data (since 1990)1313Monthly batch sampled from Bureau of Vital Statistics birth records13Teenage mothers are included13PRAMS data are linked to the birth certificate13Higher risk moms are oversampled13Primarily mail w phone follow-up132-6 months after birth13Allows for postpartum questions 132 months (8 weeks) is the maximum age where all respondents are eligible to answer1313131313Mothers need good educationinformation about breastfeeding and baby health and behaviors1313This point many potential factors13motherrsquos lack of knowledge of baby behaviorhelliphelliphelliphellipcrying is not early cue13Latch issues13Checking wet diapers poo13Checking babyrsquos weight1313Any IBCLCs here 1313If mothers and babies donrsquot breastfeeding after 8 weekshelliphelliphelliphelliphellip1313The ten steps address thishelliphelliphelliphelliptalk about how13

Hospitals report

Presenter
Presentation Notes
In October 2003 CDC convened an expert panel of researchers with specific experience in surveillance and monitoring of hospital practices related to breastfeeding At the time no system in the US collected nationally representative data on these practices The Expert Panelrsquos recommendation was to establish an ongoing national system to monitor and evaluate hospital practices related to breastfeeding among all facilities that routinely provide intrapartum care in the US1313In 2007 CDC administered the first national survey of maternity practices related to breastfeeding known as the mPINC survey It is administered every two years to every facility in the US that routinely provides maternity care services and is completed by a key informant on behalf of his or her institution in their capacity as the person most knowledgeable about the relevant practices13

Ten Steps to Successful Breastfeeding Evidence-Based

Presenter
Presentation Notes
Ten Steps to Successful Breastfeeding in both these documents as evidence based strategies to improve breastfeeding outcomes
Presenter
Presentation Notes
13Ten steps ndashoverviewhelliplist all ten1313The ten steps to successful breastfeeding include 131 Hospital breastfeeding policies- that address all TEN STEPS 132 Staff education of breastfeeding best practices and even a designated staff member responsible for lactation support133 Pre an post partum breastfeeding education134 Help mothers breastfeed within the first birth hour135 Who mothers how to breastfeed and how to maintain lactation if separated from baby136 No formula unless medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers1310 And out of hospital community support where does mother find help at 2am if she needs breastfeeding support and assistance13131313ABI is the only effort in Alaska address steps 1-10 with birthing center staff 1313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum13
Presenter
Presentation Notes
5 Who mothers how to breastfeed and how to maintain lactation if separated from baby136 No formula unless medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers1310 And out of hospital community support where does mother find help at 2am if she needs breastfeeding support and assistance1313ABI is the only effort in Alaska address steps 1-10 with birthing center staff 1313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum131313Ten steps ndashoverviewhelliplist all ten1313The ten steps to successful breastfeeding include 131 Hospital breastfeeding policies- that address all TEN STEPS 132 Staff education of breastfeeding best practices133 Pre an post partum breastfeeding education for mothers and families134 Help mothers breastfeed within the first birth hour vag 2 hours csect135 Show mothers how to breastfeed and how to maintain lactation if separated from baby136 formula only if medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day- infant procedures to occur in same room as mother138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers for 1st 48 hours1310 And out of hospital community support where does mother go at 2am if she needs breastfeeding support and assistance1313ABI is the only effort in Alaska address steps 1-7 with birthing center staff 1313How to improve rate 1313Research shows certain steps have strongest evidence 13The steps with most evidence will get more attention in my talk and in our program131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum13

Steps with most evidencemPINC results 2009-2015

13

16

79

74

85

19

39

90

89

93

24

57

62

70

90

All Ten Step policies

Community support

Show mothers how to feed

Prenatal education

Early contact and feeding

2015

2013

2009

Source CDC mPINC 200920132015

Presenter
Presentation Notes
This shows mPINC data from 2009 (before Alaska Breastfeeding Initiative kicked off in 2012)13132009 before ABI 132013 data collected during 2012 when ABI started itrsquos work on improving breast feeding outcomes through TEN STEPS132015 data collected during 2014 Akrsquos score (out of 100) remained the same No big leaps as seen from 2009-131313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 13

Alaska Breastfeeding Initiative

Presenter
Presentation Notes
httpspediatricsaappublicationsorgcontent1293e827fullcontent-block- AAP endorses TEN STEPS TO SUCCESSFUL BREASTFEEDING1313Hospital practices in the first hours and days after birth make the difference in whether and how long babies are breastfed Remember that is Step 4-9 13Step 4- help mothers initiate breastfeed asap (skin to skin)13Step 5- show mothers how to latch13Step 6- only breastmilk unless formula medically necessary13Step 7- Rooming in13Step 8- Breastfeeding on demand13Step 9 no pacifiers13 1313The International Code Marketing of Breastmilk Substitutes by offering education and educational material that promote human milk rather than other food and drinks and by refusing to accept or distribute free or subsidized supplies of breastmilk substitutes nipples and other feeding devices 1313of commercial discharge packs which contain samples of breastmilk substitutes adversely affects breastfeeding and there is no justification for giving them Second discontinuing the provision of formula in maternity facilities has been shown to be one of the most cost-effective health interventions known1313Hospital routines can help or hinder new mothers and babies while theyrsquore learning to breastfeed 131313CDCrsquos national survey of Maternity Practices in Infant Nutrition and Care (mPINC) is administered every two years to monitor and examine changes in practices over time at all hospitals and birth centers with registered maternity beds in the United States and Territories1313So our work will be officially evaluated by CDC in 2021 and results available 2022 1313But we are doing internal programmatic evaluations every year with the hospitals we have offered TEN STEP training 13We are offering technical assistance and sharing model TEN STEP POLICIES 13We recently helped Fairbanks write a grant to receive funds to concentrate specifically on the most evidenced steps I mentioned earlier STEP 3- prenatal and Step 10 community support 1313

1

image1png

Work on all strategies at once

Presenter
Presentation Notes
Our program WIC ABC many hospitals and ABI and partners are working on all 9 of CDC Guide to Strategies to Support Breastfeeding Mothers and Babies 1313That last one ldquoaddressing marketing of infant formulardquo is part of the 1313Strategy 9 is referred to you make hear it called the International Code of Marketing of Breast-milk Substitutes which means 13httpswwwcdcgovbreastfeedingpdfBF_guide_7pdf1313httpswwwcdcgovbreastfeedingpdfBF_guide_7pdf1313The International Code recommends 13No advertising of breast-milk substitutes directly to the public 13No free samples to mothers 13No promotion of products in health care facilities 13No commercial product representatives to advise mothers 13No gifts or personal samples to health workers 13No words or pictures idealizing artificial feeding including pictures of infants on the products 1313The International Code also states 13Information to health workers should be scientific and factual 13All information on artificial feeding including the labels should explain the benefits of breastfeeding and the costs and hazards associated with artificial feeding 13Unsuitable products such as condensed milk should not be promoted for babies 13All products should be of a high quality and take into account the climatic and storage conditions of the country where they are used 13131313

2019 Alaska Baby Friendly Hospitals

Over the Last 5 Years (2014-2019)

20 of all births will occur in baby friendly hospitalsbull Representing 55 of Alaska Natives

Source 2019 Alaska HAVRS (Number of births Alaska Native births)

Presenter
Presentation Notes
The baby friendly hospital initiative is a global program sponsored by the WHO and United Nations Childrens Fund (UNICEF) to encourage and recognize hospitals and birth centers that offer an optimal level of care for lactation based on the TEN STEPS to Successful Breastfeeding and the International Code of Marketing of Breast-milk substitutes1313Source Baby Friendly USA Baby Friendly Hospitals and Birth Centers designated as of June 2018 Available at httpwwwbabyfriendlyusaorg13 Baby Friendly USA reviewed policies and reviewed all criteria to get he designating as baby friendly Many hospitals implement the 10 steps without official baby friendly designation

How you can support breastfeeding

bull Prenatal breastfeeding education

bull Maternity centers show mothers how to breastfeed-early and often

bull Support after hospital discharge

Presenter
Presentation Notes
Remember the goal here is to concentrate on the steps that have the most evidence1313Ask for or help develop opportunities for prenatal breastfeeding education1313Maternity centers can show mothers how to breastfeed early and often Skin to skin without 30 minutes to 1 hour (vag) 30 min to 2 hours for c sect1313Support mothers and babies after discharge through peer support program breast feeding programs at early child education centers and support in workplace

Breastfeeding Improves Nutrition and is an Investment In Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to write down any questions you may have about Breast Feeding Initiative or breastfeeding in general while you listen to my friend and colleague Lori talk about how food service guidelines improve nutrition and is an investment in health

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Discuss lifespan of how we work with infants preschool school age and adults 13

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Dawn ldquoNow Irsquom going to let my friend and colleague Loti show you how food service guidelines improves nutrition and is an investment in health ldquo13____________________________________________________________________________________________________________________________________________________________________________13Lori Thank you Dawn for setting the stage 13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Donuts on the counterbull Chocolate or candy from your snack drawerbull Food from the vending machinebull Walk to the cafeteria or store for a healthy option

Itrsquos 3pm you worked through lunch and your belly is growling

Food Service Guidelines

Presenter
Presentation Notes
What we eat and drink impacts our health but we tend to eat whatrsquos readily available 1313Food Service Guidelines represent a voluntary set of best business practices that ensure safe healthy food options are available13The availability of healthy affordable foods contributes to a personrsquos diet and risk of diet-related chronic diseases13Fewer than 1 in 10 adults eat the recommended daily amount of fruits and vegetables1313What we eat and drink impacts our health but we tend to eat whatrsquos readily available 13The average American consuming more than one-third of their calories through foods prepared away from home organizations across Alaska and the country are realizing that the foods and beverages they offer at their work sites provide a significant opportunity to promote and improve employee health13Making healthier food and beverages available in public places lets families employees patients and children 13Eat healthy13Helps prevent weight gain and diseases like type 2 diabetes cancer and heart disease13

Food Service Guidelines

Goalsbull Healthier foods and

beverages bull Support local food

sourcing

Presenter
Presentation Notes
Healthier food and beverages available (cafeterias workplace coffee shops schools etc1313Local Food Sourcing includes farmers markets including at your work site mom and pop stores cars microgreens from Talkeetna that deliver to Anchorage seafood at farmers markets 1313Example Farm to table with our local farmers market in anchorage brought local chickens from homer to anchorage Previously available only sold to grocery stores and now available to direct consumers

Healthy Food Initiative

bull Established partnership with Alaska Native Tribal Health Consortium (ANTHC)bull Campus Healthy Food Project (CHeF)

bull Vending bull Coffee Cartsbull Cafeteriasbull Mini-Stores

Presenter
Presentation Notes
talk about ANTHC includes SCF and ANMC when the term campus is used give examples of food service facilities (vending coffee carts cafeterias mini-stores give counts for the campus talk about why this is a good location worksite lots of visitors of workers potentially impacted and visitor if you know those

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Presenter
Presentation Notes
I am going to walk through different examples of this wheel showing how Food Services Guidelines are developed and implemented For example understanding and knowing your leadership

Engage Stakeholders and Partners

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Community Support

Positive Responses ldquoThey taste greatrdquoldquoI like to feel energizedrdquo ldquoIt makes me feel more productive at workrdquo

bull Employees feel supportedbull Encouraged to take better

care of themselves bull Appreciate having healthy

options

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Food and Beverage Assessment

Examples include bull Fruit and Vegetablesbull Grainsbull Dairybull Beveragesbull Nutritional Labeling

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Update Food and Beverage Policy

bull Traditional Foods introduced into hospitals

bull Soda free Campus

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Review Purchasing and Agreement

Process for purchasing agreements

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Communication Strategies

Healthy Food Choices

Benefitsbull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancers

Source Dietary Guidelines for Americans 2015-2020 Eight Edition (pg 17)

Presenter
Presentation Notes
httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Fruit on the counterbull Nuts from your snack drawerbull Healthy Food from the vending machinebull Drive your car to the closest fast food joint

Itrsquos 3pm you worked through lunch and your belly is growling

Presenter
Presentation Notes
Making the healthy choice the easy choice

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to save any questions you may have while you listen to my friend and colleague Dawn talk about how active transportation improves physical activity and is an investment in health 13

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Active Transportation is a strategy to increase physical activity and works across the lifespan Think of strollering baby to a park walking child to day care school or the rest of us using active transportation to walk bike or bus to any destination we desire

Active Transportation Improves Physical Activity and is

an Investment in Health

Presenter
Presentation Notes
Imagine how much PA you would each tally if everyday you had a activity friendly route (safe route to walk your kids to school use transit carpool bike to meet friends at a restaurant grab groceries or arrive work Of course this would mean you would get more physical activity

Safer and Healthier Streets for EVERYONE

Active Transportation Initiative

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

2018 Physical Activity Guidelines

Adultsbull 150 minutes moderate

intensity per week

School-agebull 60 minutes or more every

day

Preschool bull Active throughout the day

httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf

Presenter
Presentation Notes
The Physical Activity Guidelines for Americans is issues by the US Dept of Health and Human Services The primary audience is policy makers and health professionals though it may also be interesting to members of the public The main ide behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits 1313Key Guidelines1313Adults should move more and sit less throughout the day Some physical activity is better than none 22 minutes or more every day combination of moderate and vigorous intensity with 2 or more days a week of muscle strengthening 1313School-age appropriate to age and enjoyable variety1313Preschool variety of active play throughout the day1313Source httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf1313So we know the guidelines for PA now13

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 11: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Alaska Breastfeeding Initiative

Presenter
Presentation Notes
Irsquom going to talk about Alaska Breastfeeding Initiative- and the evidence based strategies we are working on throughout Alaska 1313131313httpspediatricsaappublicationsorgcontent1293e827fullcontent-block- AAP endorses TEN STEPS TO SUCCESSFUL BREASTFEEDING1313Hospital practices in the first hours and days after birth make the difference in whether and how long babies are breastfed Remember that is Step 4-9 13Step 4- help mothers initiate breastfeed asap (skin to skin)13Step 5- show mothers how to latch13Step 6- only breastmilk unless formula medically necessary13Step 7- Rooming in13Step 8- Breastfeeding on demand13Step 9 no pacifiers13 1313The International Code Marketing of Breastmilk Substitutes by offering education and educational material that promote human milk rather than other food and drinks and by refusing to accept or distribute free or subsidized supplies of breastmilk substitutes nipples and other feeding devices 1313of commercial discharge packs which contain samples of breastmilk substitutes adversely affects breastfeeding and there is no justification for giving them Second discontinuing the provision of formula in maternity facilities has been shown to be one of the most cost-effective health interventions known1313Hospital routines can help or hinder new mothers and babies while theyrsquore learning to breastfeed 131313CDCrsquos national survey of Maternity Practices in Infant Nutrition and Care (mPINC) is administered every two years to monitor and examine changes in practices over time at all hospitals and birth centers with registered maternity beds in the United States and Territories1313So our work will be officially evaluated by CDC in 2021 and results available 2022 1313But we are doing internal programmatic evaluations every year with the hospitals we have offered TEN STEP training 13We are offering technical assistance and sharing model TEN STEP POLICIES 13We recently helped Fairbanks write a grant to receive funds to concentrate specifically on the most evidenced steps I mentioned earlier STEP 3- prenatal and Step 10 community support 1313

1

image1png

Benefits of Breastfeeding

bull Obesitybull Type 2 Diabetesbull Sudden infant death

syndromebull High blood pressurebull Certain cancers

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
BREASTFEEDING IS AN INVESTMENT IN HEALTH NOT JUST A LIFESTYLE DECISION 1313BENEFITS FOR INFANTS 13Infants who are breastfed have reduced risks of bull Asthma bull Obesity bull Type 1 diabetes bull Severe lower respiratory disease bull Acute otitis media (ear infections) bull Sudden infant death syndrome (SIDS) bull Gastrointestinal infections (diarrheavomiting) bull 1313BENEFITS FOR MOTHERS 13Breastfeeding can help lower a motherrsquos risk of bull High blood pressure bull Type 2 diabetes bull Ovarian cancer bull Breast cancer 131313Breastfeeding provides unmatched health benefits for babies and mothers It is the clinical gold standard for infant feeding and nutrition with breast milk uniquely tailored to meet the health needs of a growing baby We must do more to create supportive and safe environments for mothers who choose to breastfeed Dr Ruth Petersen Director of CDCrsquos Division of Nutrition Physical Activity and Obesity 1313Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

American Academy of Pediatrics (AAP)Recommendations

bull Exclusive breastfeeding for about 6 months

bull Introduce foods at about 6 months

bull Continued breastfeeding 12 months or longer

Source Pediatrics March 2012 129 (3) e827-e841 DOI httpsdoiorg101542peds2011-3552

Presenter
Presentation Notes
13Breastfeeding is a natural and beneficial source of nutrition and provides the healthiest start for an infant and promotes a unique and emotional connection between mother and baby 1313The AAP policy Breastfeeding and the Use of Human Milk is one of the most accessed policies available from the AAP because of its importance for the health of families here in the US and throughout the world1313In the policy statement Breastfeeding and the Use of Human Milk published in the March 2012 issue of Pediatrics (published online Feb 27) the American Academy of Pediatrics (AAP) reaffirmed its recommendation of exclusive breastfeeding for about the first six months of a babys life followed by breastfeeding in combination with the introduction of complementary foods until at least 12 months of age and continuation of breastfeeding for as long as mutually desired by mother and baby 131313Source Pediatrics March 2012 129 (3) e827-e841 DOI httpsdoiorg101542peds2011-3552 13Source httpswwwaaporgen-usabout-the-aapaap-press-roompagesaap-reaffirms-breastfeeding-guidelinesaspx131313

Letrsquos monitor how Alaska is doing

Presenter
Presentation Notes
Letrsquos monitor how Alaska is doing according to Mothers and Hospital reports

Alaska PRAMS

What mothers report

Presenter
Presentation Notes
13Two reports that use CDC PRAMS as a Data Source 13httpdhssalaskagovdphChronicDocumentsObesitypubs2019ChildhoodPAN_Factspdf131313PRAMS started as an initiative to reduce infant mortality and low birthweight Three states do not participate CA ID and OH just interesting I will not share 1313Surveys mailed to women CDC survey ~150month telephone calls attempted to women who do not respond by mail Survey of mothers health before during and after pregnancy 13Birth records available when baby minimum of 2 months and a maximum of 6 months13Women whose babies have died are still included letters specific for grieving mothers are mailed out in these situations 13When birth multiple one infant is randomly selected and pending adopts are included as long as biological mother is identified on birth record13Randomly samples approximately 16 of all live births in Alaska13Alaskarsquos population is ~ 73700013About 66 are white 15 Alaska NativeAmerican Indian13Alaska PRAMS eligible population is ~11000yr13About 65 are white 25 Alaska Native13We were the 7th state to join PRAMS (now 47)13Wersquove collected 30 years of data (since 1990)13

Breastfeeding initiation 2017

bull Initiation rate of 93 top in the country (US Avg 88)bull Disparities exist but we know mothers of all ages race and

income levels can be successful at breastfeeding

httpdhssalaskagovdphChronicDocumentsObesitypubs2019ChildhoodPAN_Factspdf

Presenter
Presentation Notes
the surgeon general goes on to say ldquoMany mothers in the United States want to breastfeed and most tryrdquo Remember this is Step 4 of Ten Steps ldquoHelp Mother Breastfeedrdquo

Any breastfeeding at 8 weeks 2016

Source Alaska PRAMS FPL = Federal Poverty Level Note US value is from 2015 and based on weighted mean of 35 participating PRAMS programs meeting required response rate threshold set by CDC Source 2015 Alaska PRAMS survey (Pregnancy

Risk Assessment Monitoring System)

bull 8-week rate of 83 far exceeds the US bull Mothers of all ages race and income levels can be successful

at breastfeeding

Presenter
Presentation Notes
the surgeon general goes on to say ldquoMany mothers in the United States want to breastfeed and most tryrdquo 131313 And yet within only three months after giving birth more than two-thirds of breastfeeding mothers have already begun using formula By six months postpartum more than half of mothers have given up on breastfeeding and mothers who breastfeed one-year-olds or toddlers are a rarity in our societyrdquo131313Could be related to Step 3 Prenatal education Step 5 Show mothers how to breastfeed and how to maintain lactation even if separated from baby Step 10 Community Support 1313quote I read earlier ldquomany mothers in the US want to breastfeed and most tryrdquo Alaska is much the same Alaskarsquos high breastfeeding initiation rates show that most mothers in the AK want to breastfeed and start out doing so1313Overall AK rates exceed US rates You can see Alaskarsquos 8-week breastfeeding rate of 83 far exceeds the US comparison at 661313Younger and older mothers can both be successful at breastfeeding 1313mothers of all races and income level can do well with breastfeeding 1313Women with limited economic means can achieve breastfeeding1313Mothers of all ages race and income levels can be successful with breastfeeding 1313Source Alaska PRAMS FPL = Federal Poverty Level Note US value is from 2015 and based on weighted mean of 35 participating PRAMS programs meeting required response rate threshold set by CDC 1313Source Alaska Maternal and Child Health Data Book 2018 PRAMS edition1313

Why do Alaska mothers report stop breastfeeding

before their babies are 8 weeks old

bull Return to work or schoolbull No timebull No placebull Too painfulbull Not enough milk

Source 2015 Alaska PRAMS survey (Pregnancy Risk Assessment Monitoring System)

Presenter
Presentation Notes
According to the httpdhssalaskagovdphwcfhDocumentsmchepipramsAlaska_Breastfeeding_Topic_Report_2012-2014pdf

Alaska PRAMS Reports

By 8 weeks post-partum 50 of the mothers who stopped breastfeeding reported doing so because they thought that they did not have enough milk

20

SourcehttpdhssalaskagovdphwcfhDocumentsmchepipramsAlaska_Breastfeeding_Topic_Report_2012-2014pdf

Presenter
Presentation Notes
Mothers reported stopping because they felt they did not have enough milk Remember when I mentioned that the steps with the most evidence The TENS STEPS can educate mothers about how to realize if babies are getting enough milk 131313This information is from the 2015 Alaska PRAMS survey (Pregnancy Risk Assessment Monitoring System)13PRAMS asks Alaskan mothers for information about breastfeeding about 3-4 months after delivery1313PRAM is Randomly samples approximately 16 of all live births in Alaska13Alaskarsquos population is ~ 73230013About 71 are white 17 Alaska Native13Alaska PRAMS eligible population is ~11000yr13About 65 are white 25 Alaska Native13We were the 7th state to join PRAMS (now 40)13Wersquove collected 25 years of data (since 1990)1313Monthly batch sampled from Bureau of Vital Statistics birth records13Teenage mothers are included13PRAMS data are linked to the birth certificate13Higher risk moms are oversampled13Primarily mail w phone follow-up132-6 months after birth13Allows for postpartum questions 132 months (8 weeks) is the maximum age where all respondents are eligible to answer1313131313Mothers need good educationinformation about breastfeeding and baby health and behaviors1313This point many potential factors13motherrsquos lack of knowledge of baby behaviorhelliphelliphelliphellipcrying is not early cue13Latch issues13Checking wet diapers poo13Checking babyrsquos weight1313Any IBCLCs here 1313If mothers and babies donrsquot breastfeeding after 8 weekshelliphelliphelliphelliphellip1313The ten steps address thishelliphelliphelliphelliptalk about how13

Hospitals report

Presenter
Presentation Notes
In October 2003 CDC convened an expert panel of researchers with specific experience in surveillance and monitoring of hospital practices related to breastfeeding At the time no system in the US collected nationally representative data on these practices The Expert Panelrsquos recommendation was to establish an ongoing national system to monitor and evaluate hospital practices related to breastfeeding among all facilities that routinely provide intrapartum care in the US1313In 2007 CDC administered the first national survey of maternity practices related to breastfeeding known as the mPINC survey It is administered every two years to every facility in the US that routinely provides maternity care services and is completed by a key informant on behalf of his or her institution in their capacity as the person most knowledgeable about the relevant practices13

Ten Steps to Successful Breastfeeding Evidence-Based

Presenter
Presentation Notes
Ten Steps to Successful Breastfeeding in both these documents as evidence based strategies to improve breastfeeding outcomes
Presenter
Presentation Notes
13Ten steps ndashoverviewhelliplist all ten1313The ten steps to successful breastfeeding include 131 Hospital breastfeeding policies- that address all TEN STEPS 132 Staff education of breastfeeding best practices and even a designated staff member responsible for lactation support133 Pre an post partum breastfeeding education134 Help mothers breastfeed within the first birth hour135 Who mothers how to breastfeed and how to maintain lactation if separated from baby136 No formula unless medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers1310 And out of hospital community support where does mother find help at 2am if she needs breastfeeding support and assistance13131313ABI is the only effort in Alaska address steps 1-10 with birthing center staff 1313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum13
Presenter
Presentation Notes
5 Who mothers how to breastfeed and how to maintain lactation if separated from baby136 No formula unless medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers1310 And out of hospital community support where does mother find help at 2am if she needs breastfeeding support and assistance1313ABI is the only effort in Alaska address steps 1-10 with birthing center staff 1313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum131313Ten steps ndashoverviewhelliplist all ten1313The ten steps to successful breastfeeding include 131 Hospital breastfeeding policies- that address all TEN STEPS 132 Staff education of breastfeeding best practices133 Pre an post partum breastfeeding education for mothers and families134 Help mothers breastfeed within the first birth hour vag 2 hours csect135 Show mothers how to breastfeed and how to maintain lactation if separated from baby136 formula only if medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day- infant procedures to occur in same room as mother138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers for 1st 48 hours1310 And out of hospital community support where does mother go at 2am if she needs breastfeeding support and assistance1313ABI is the only effort in Alaska address steps 1-7 with birthing center staff 1313How to improve rate 1313Research shows certain steps have strongest evidence 13The steps with most evidence will get more attention in my talk and in our program131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum13

Steps with most evidencemPINC results 2009-2015

13

16

79

74

85

19

39

90

89

93

24

57

62

70

90

All Ten Step policies

Community support

Show mothers how to feed

Prenatal education

Early contact and feeding

2015

2013

2009

Source CDC mPINC 200920132015

Presenter
Presentation Notes
This shows mPINC data from 2009 (before Alaska Breastfeeding Initiative kicked off in 2012)13132009 before ABI 132013 data collected during 2012 when ABI started itrsquos work on improving breast feeding outcomes through TEN STEPS132015 data collected during 2014 Akrsquos score (out of 100) remained the same No big leaps as seen from 2009-131313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 13

Alaska Breastfeeding Initiative

Presenter
Presentation Notes
httpspediatricsaappublicationsorgcontent1293e827fullcontent-block- AAP endorses TEN STEPS TO SUCCESSFUL BREASTFEEDING1313Hospital practices in the first hours and days after birth make the difference in whether and how long babies are breastfed Remember that is Step 4-9 13Step 4- help mothers initiate breastfeed asap (skin to skin)13Step 5- show mothers how to latch13Step 6- only breastmilk unless formula medically necessary13Step 7- Rooming in13Step 8- Breastfeeding on demand13Step 9 no pacifiers13 1313The International Code Marketing of Breastmilk Substitutes by offering education and educational material that promote human milk rather than other food and drinks and by refusing to accept or distribute free or subsidized supplies of breastmilk substitutes nipples and other feeding devices 1313of commercial discharge packs which contain samples of breastmilk substitutes adversely affects breastfeeding and there is no justification for giving them Second discontinuing the provision of formula in maternity facilities has been shown to be one of the most cost-effective health interventions known1313Hospital routines can help or hinder new mothers and babies while theyrsquore learning to breastfeed 131313CDCrsquos national survey of Maternity Practices in Infant Nutrition and Care (mPINC) is administered every two years to monitor and examine changes in practices over time at all hospitals and birth centers with registered maternity beds in the United States and Territories1313So our work will be officially evaluated by CDC in 2021 and results available 2022 1313But we are doing internal programmatic evaluations every year with the hospitals we have offered TEN STEP training 13We are offering technical assistance and sharing model TEN STEP POLICIES 13We recently helped Fairbanks write a grant to receive funds to concentrate specifically on the most evidenced steps I mentioned earlier STEP 3- prenatal and Step 10 community support 1313

1

image1png

Work on all strategies at once

Presenter
Presentation Notes
Our program WIC ABC many hospitals and ABI and partners are working on all 9 of CDC Guide to Strategies to Support Breastfeeding Mothers and Babies 1313That last one ldquoaddressing marketing of infant formulardquo is part of the 1313Strategy 9 is referred to you make hear it called the International Code of Marketing of Breast-milk Substitutes which means 13httpswwwcdcgovbreastfeedingpdfBF_guide_7pdf1313httpswwwcdcgovbreastfeedingpdfBF_guide_7pdf1313The International Code recommends 13No advertising of breast-milk substitutes directly to the public 13No free samples to mothers 13No promotion of products in health care facilities 13No commercial product representatives to advise mothers 13No gifts or personal samples to health workers 13No words or pictures idealizing artificial feeding including pictures of infants on the products 1313The International Code also states 13Information to health workers should be scientific and factual 13All information on artificial feeding including the labels should explain the benefits of breastfeeding and the costs and hazards associated with artificial feeding 13Unsuitable products such as condensed milk should not be promoted for babies 13All products should be of a high quality and take into account the climatic and storage conditions of the country where they are used 13131313

2019 Alaska Baby Friendly Hospitals

Over the Last 5 Years (2014-2019)

20 of all births will occur in baby friendly hospitalsbull Representing 55 of Alaska Natives

Source 2019 Alaska HAVRS (Number of births Alaska Native births)

Presenter
Presentation Notes
The baby friendly hospital initiative is a global program sponsored by the WHO and United Nations Childrens Fund (UNICEF) to encourage and recognize hospitals and birth centers that offer an optimal level of care for lactation based on the TEN STEPS to Successful Breastfeeding and the International Code of Marketing of Breast-milk substitutes1313Source Baby Friendly USA Baby Friendly Hospitals and Birth Centers designated as of June 2018 Available at httpwwwbabyfriendlyusaorg13 Baby Friendly USA reviewed policies and reviewed all criteria to get he designating as baby friendly Many hospitals implement the 10 steps without official baby friendly designation

How you can support breastfeeding

bull Prenatal breastfeeding education

bull Maternity centers show mothers how to breastfeed-early and often

bull Support after hospital discharge

Presenter
Presentation Notes
Remember the goal here is to concentrate on the steps that have the most evidence1313Ask for or help develop opportunities for prenatal breastfeeding education1313Maternity centers can show mothers how to breastfeed early and often Skin to skin without 30 minutes to 1 hour (vag) 30 min to 2 hours for c sect1313Support mothers and babies after discharge through peer support program breast feeding programs at early child education centers and support in workplace

Breastfeeding Improves Nutrition and is an Investment In Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to write down any questions you may have about Breast Feeding Initiative or breastfeeding in general while you listen to my friend and colleague Lori talk about how food service guidelines improve nutrition and is an investment in health

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Discuss lifespan of how we work with infants preschool school age and adults 13

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Dawn ldquoNow Irsquom going to let my friend and colleague Loti show you how food service guidelines improves nutrition and is an investment in health ldquo13____________________________________________________________________________________________________________________________________________________________________________13Lori Thank you Dawn for setting the stage 13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Donuts on the counterbull Chocolate or candy from your snack drawerbull Food from the vending machinebull Walk to the cafeteria or store for a healthy option

Itrsquos 3pm you worked through lunch and your belly is growling

Food Service Guidelines

Presenter
Presentation Notes
What we eat and drink impacts our health but we tend to eat whatrsquos readily available 1313Food Service Guidelines represent a voluntary set of best business practices that ensure safe healthy food options are available13The availability of healthy affordable foods contributes to a personrsquos diet and risk of diet-related chronic diseases13Fewer than 1 in 10 adults eat the recommended daily amount of fruits and vegetables1313What we eat and drink impacts our health but we tend to eat whatrsquos readily available 13The average American consuming more than one-third of their calories through foods prepared away from home organizations across Alaska and the country are realizing that the foods and beverages they offer at their work sites provide a significant opportunity to promote and improve employee health13Making healthier food and beverages available in public places lets families employees patients and children 13Eat healthy13Helps prevent weight gain and diseases like type 2 diabetes cancer and heart disease13

Food Service Guidelines

Goalsbull Healthier foods and

beverages bull Support local food

sourcing

Presenter
Presentation Notes
Healthier food and beverages available (cafeterias workplace coffee shops schools etc1313Local Food Sourcing includes farmers markets including at your work site mom and pop stores cars microgreens from Talkeetna that deliver to Anchorage seafood at farmers markets 1313Example Farm to table with our local farmers market in anchorage brought local chickens from homer to anchorage Previously available only sold to grocery stores and now available to direct consumers

Healthy Food Initiative

bull Established partnership with Alaska Native Tribal Health Consortium (ANTHC)bull Campus Healthy Food Project (CHeF)

bull Vending bull Coffee Cartsbull Cafeteriasbull Mini-Stores

Presenter
Presentation Notes
talk about ANTHC includes SCF and ANMC when the term campus is used give examples of food service facilities (vending coffee carts cafeterias mini-stores give counts for the campus talk about why this is a good location worksite lots of visitors of workers potentially impacted and visitor if you know those

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Presenter
Presentation Notes
I am going to walk through different examples of this wheel showing how Food Services Guidelines are developed and implemented For example understanding and knowing your leadership

Engage Stakeholders and Partners

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Community Support

Positive Responses ldquoThey taste greatrdquoldquoI like to feel energizedrdquo ldquoIt makes me feel more productive at workrdquo

bull Employees feel supportedbull Encouraged to take better

care of themselves bull Appreciate having healthy

options

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Food and Beverage Assessment

Examples include bull Fruit and Vegetablesbull Grainsbull Dairybull Beveragesbull Nutritional Labeling

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Update Food and Beverage Policy

bull Traditional Foods introduced into hospitals

bull Soda free Campus

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Review Purchasing and Agreement

Process for purchasing agreements

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Communication Strategies

Healthy Food Choices

Benefitsbull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancers

Source Dietary Guidelines for Americans 2015-2020 Eight Edition (pg 17)

Presenter
Presentation Notes
httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Fruit on the counterbull Nuts from your snack drawerbull Healthy Food from the vending machinebull Drive your car to the closest fast food joint

Itrsquos 3pm you worked through lunch and your belly is growling

Presenter
Presentation Notes
Making the healthy choice the easy choice

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to save any questions you may have while you listen to my friend and colleague Dawn talk about how active transportation improves physical activity and is an investment in health 13

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Active Transportation is a strategy to increase physical activity and works across the lifespan Think of strollering baby to a park walking child to day care school or the rest of us using active transportation to walk bike or bus to any destination we desire

Active Transportation Improves Physical Activity and is

an Investment in Health

Presenter
Presentation Notes
Imagine how much PA you would each tally if everyday you had a activity friendly route (safe route to walk your kids to school use transit carpool bike to meet friends at a restaurant grab groceries or arrive work Of course this would mean you would get more physical activity

Safer and Healthier Streets for EVERYONE

Active Transportation Initiative

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

2018 Physical Activity Guidelines

Adultsbull 150 minutes moderate

intensity per week

School-agebull 60 minutes or more every

day

Preschool bull Active throughout the day

httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf

Presenter
Presentation Notes
The Physical Activity Guidelines for Americans is issues by the US Dept of Health and Human Services The primary audience is policy makers and health professionals though it may also be interesting to members of the public The main ide behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits 1313Key Guidelines1313Adults should move more and sit less throughout the day Some physical activity is better than none 22 minutes or more every day combination of moderate and vigorous intensity with 2 or more days a week of muscle strengthening 1313School-age appropriate to age and enjoyable variety1313Preschool variety of active play throughout the day1313Source httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf1313So we know the guidelines for PA now13

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 12: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Benefits of Breastfeeding

bull Obesitybull Type 2 Diabetesbull Sudden infant death

syndromebull High blood pressurebull Certain cancers

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
BREASTFEEDING IS AN INVESTMENT IN HEALTH NOT JUST A LIFESTYLE DECISION 1313BENEFITS FOR INFANTS 13Infants who are breastfed have reduced risks of bull Asthma bull Obesity bull Type 1 diabetes bull Severe lower respiratory disease bull Acute otitis media (ear infections) bull Sudden infant death syndrome (SIDS) bull Gastrointestinal infections (diarrheavomiting) bull 1313BENEFITS FOR MOTHERS 13Breastfeeding can help lower a motherrsquos risk of bull High blood pressure bull Type 2 diabetes bull Ovarian cancer bull Breast cancer 131313Breastfeeding provides unmatched health benefits for babies and mothers It is the clinical gold standard for infant feeding and nutrition with breast milk uniquely tailored to meet the health needs of a growing baby We must do more to create supportive and safe environments for mothers who choose to breastfeed Dr Ruth Petersen Director of CDCrsquos Division of Nutrition Physical Activity and Obesity 1313Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

American Academy of Pediatrics (AAP)Recommendations

bull Exclusive breastfeeding for about 6 months

bull Introduce foods at about 6 months

bull Continued breastfeeding 12 months or longer

Source Pediatrics March 2012 129 (3) e827-e841 DOI httpsdoiorg101542peds2011-3552

Presenter
Presentation Notes
13Breastfeeding is a natural and beneficial source of nutrition and provides the healthiest start for an infant and promotes a unique and emotional connection between mother and baby 1313The AAP policy Breastfeeding and the Use of Human Milk is one of the most accessed policies available from the AAP because of its importance for the health of families here in the US and throughout the world1313In the policy statement Breastfeeding and the Use of Human Milk published in the March 2012 issue of Pediatrics (published online Feb 27) the American Academy of Pediatrics (AAP) reaffirmed its recommendation of exclusive breastfeeding for about the first six months of a babys life followed by breastfeeding in combination with the introduction of complementary foods until at least 12 months of age and continuation of breastfeeding for as long as mutually desired by mother and baby 131313Source Pediatrics March 2012 129 (3) e827-e841 DOI httpsdoiorg101542peds2011-3552 13Source httpswwwaaporgen-usabout-the-aapaap-press-roompagesaap-reaffirms-breastfeeding-guidelinesaspx131313

Letrsquos monitor how Alaska is doing

Presenter
Presentation Notes
Letrsquos monitor how Alaska is doing according to Mothers and Hospital reports

Alaska PRAMS

What mothers report

Presenter
Presentation Notes
13Two reports that use CDC PRAMS as a Data Source 13httpdhssalaskagovdphChronicDocumentsObesitypubs2019ChildhoodPAN_Factspdf131313PRAMS started as an initiative to reduce infant mortality and low birthweight Three states do not participate CA ID and OH just interesting I will not share 1313Surveys mailed to women CDC survey ~150month telephone calls attempted to women who do not respond by mail Survey of mothers health before during and after pregnancy 13Birth records available when baby minimum of 2 months and a maximum of 6 months13Women whose babies have died are still included letters specific for grieving mothers are mailed out in these situations 13When birth multiple one infant is randomly selected and pending adopts are included as long as biological mother is identified on birth record13Randomly samples approximately 16 of all live births in Alaska13Alaskarsquos population is ~ 73700013About 66 are white 15 Alaska NativeAmerican Indian13Alaska PRAMS eligible population is ~11000yr13About 65 are white 25 Alaska Native13We were the 7th state to join PRAMS (now 47)13Wersquove collected 30 years of data (since 1990)13

Breastfeeding initiation 2017

bull Initiation rate of 93 top in the country (US Avg 88)bull Disparities exist but we know mothers of all ages race and

income levels can be successful at breastfeeding

httpdhssalaskagovdphChronicDocumentsObesitypubs2019ChildhoodPAN_Factspdf

Presenter
Presentation Notes
the surgeon general goes on to say ldquoMany mothers in the United States want to breastfeed and most tryrdquo Remember this is Step 4 of Ten Steps ldquoHelp Mother Breastfeedrdquo

Any breastfeeding at 8 weeks 2016

Source Alaska PRAMS FPL = Federal Poverty Level Note US value is from 2015 and based on weighted mean of 35 participating PRAMS programs meeting required response rate threshold set by CDC Source 2015 Alaska PRAMS survey (Pregnancy

Risk Assessment Monitoring System)

bull 8-week rate of 83 far exceeds the US bull Mothers of all ages race and income levels can be successful

at breastfeeding

Presenter
Presentation Notes
the surgeon general goes on to say ldquoMany mothers in the United States want to breastfeed and most tryrdquo 131313 And yet within only three months after giving birth more than two-thirds of breastfeeding mothers have already begun using formula By six months postpartum more than half of mothers have given up on breastfeeding and mothers who breastfeed one-year-olds or toddlers are a rarity in our societyrdquo131313Could be related to Step 3 Prenatal education Step 5 Show mothers how to breastfeed and how to maintain lactation even if separated from baby Step 10 Community Support 1313quote I read earlier ldquomany mothers in the US want to breastfeed and most tryrdquo Alaska is much the same Alaskarsquos high breastfeeding initiation rates show that most mothers in the AK want to breastfeed and start out doing so1313Overall AK rates exceed US rates You can see Alaskarsquos 8-week breastfeeding rate of 83 far exceeds the US comparison at 661313Younger and older mothers can both be successful at breastfeeding 1313mothers of all races and income level can do well with breastfeeding 1313Women with limited economic means can achieve breastfeeding1313Mothers of all ages race and income levels can be successful with breastfeeding 1313Source Alaska PRAMS FPL = Federal Poverty Level Note US value is from 2015 and based on weighted mean of 35 participating PRAMS programs meeting required response rate threshold set by CDC 1313Source Alaska Maternal and Child Health Data Book 2018 PRAMS edition1313

Why do Alaska mothers report stop breastfeeding

before their babies are 8 weeks old

bull Return to work or schoolbull No timebull No placebull Too painfulbull Not enough milk

Source 2015 Alaska PRAMS survey (Pregnancy Risk Assessment Monitoring System)

Presenter
Presentation Notes
According to the httpdhssalaskagovdphwcfhDocumentsmchepipramsAlaska_Breastfeeding_Topic_Report_2012-2014pdf

Alaska PRAMS Reports

By 8 weeks post-partum 50 of the mothers who stopped breastfeeding reported doing so because they thought that they did not have enough milk

20

SourcehttpdhssalaskagovdphwcfhDocumentsmchepipramsAlaska_Breastfeeding_Topic_Report_2012-2014pdf

Presenter
Presentation Notes
Mothers reported stopping because they felt they did not have enough milk Remember when I mentioned that the steps with the most evidence The TENS STEPS can educate mothers about how to realize if babies are getting enough milk 131313This information is from the 2015 Alaska PRAMS survey (Pregnancy Risk Assessment Monitoring System)13PRAMS asks Alaskan mothers for information about breastfeeding about 3-4 months after delivery1313PRAM is Randomly samples approximately 16 of all live births in Alaska13Alaskarsquos population is ~ 73230013About 71 are white 17 Alaska Native13Alaska PRAMS eligible population is ~11000yr13About 65 are white 25 Alaska Native13We were the 7th state to join PRAMS (now 40)13Wersquove collected 25 years of data (since 1990)1313Monthly batch sampled from Bureau of Vital Statistics birth records13Teenage mothers are included13PRAMS data are linked to the birth certificate13Higher risk moms are oversampled13Primarily mail w phone follow-up132-6 months after birth13Allows for postpartum questions 132 months (8 weeks) is the maximum age where all respondents are eligible to answer1313131313Mothers need good educationinformation about breastfeeding and baby health and behaviors1313This point many potential factors13motherrsquos lack of knowledge of baby behaviorhelliphelliphelliphellipcrying is not early cue13Latch issues13Checking wet diapers poo13Checking babyrsquos weight1313Any IBCLCs here 1313If mothers and babies donrsquot breastfeeding after 8 weekshelliphelliphelliphelliphellip1313The ten steps address thishelliphelliphelliphelliptalk about how13

Hospitals report

Presenter
Presentation Notes
In October 2003 CDC convened an expert panel of researchers with specific experience in surveillance and monitoring of hospital practices related to breastfeeding At the time no system in the US collected nationally representative data on these practices The Expert Panelrsquos recommendation was to establish an ongoing national system to monitor and evaluate hospital practices related to breastfeeding among all facilities that routinely provide intrapartum care in the US1313In 2007 CDC administered the first national survey of maternity practices related to breastfeeding known as the mPINC survey It is administered every two years to every facility in the US that routinely provides maternity care services and is completed by a key informant on behalf of his or her institution in their capacity as the person most knowledgeable about the relevant practices13

Ten Steps to Successful Breastfeeding Evidence-Based

Presenter
Presentation Notes
Ten Steps to Successful Breastfeeding in both these documents as evidence based strategies to improve breastfeeding outcomes
Presenter
Presentation Notes
13Ten steps ndashoverviewhelliplist all ten1313The ten steps to successful breastfeeding include 131 Hospital breastfeeding policies- that address all TEN STEPS 132 Staff education of breastfeeding best practices and even a designated staff member responsible for lactation support133 Pre an post partum breastfeeding education134 Help mothers breastfeed within the first birth hour135 Who mothers how to breastfeed and how to maintain lactation if separated from baby136 No formula unless medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers1310 And out of hospital community support where does mother find help at 2am if she needs breastfeeding support and assistance13131313ABI is the only effort in Alaska address steps 1-10 with birthing center staff 1313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum13
Presenter
Presentation Notes
5 Who mothers how to breastfeed and how to maintain lactation if separated from baby136 No formula unless medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers1310 And out of hospital community support where does mother find help at 2am if she needs breastfeeding support and assistance1313ABI is the only effort in Alaska address steps 1-10 with birthing center staff 1313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum131313Ten steps ndashoverviewhelliplist all ten1313The ten steps to successful breastfeeding include 131 Hospital breastfeeding policies- that address all TEN STEPS 132 Staff education of breastfeeding best practices133 Pre an post partum breastfeeding education for mothers and families134 Help mothers breastfeed within the first birth hour vag 2 hours csect135 Show mothers how to breastfeed and how to maintain lactation if separated from baby136 formula only if medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day- infant procedures to occur in same room as mother138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers for 1st 48 hours1310 And out of hospital community support where does mother go at 2am if she needs breastfeeding support and assistance1313ABI is the only effort in Alaska address steps 1-7 with birthing center staff 1313How to improve rate 1313Research shows certain steps have strongest evidence 13The steps with most evidence will get more attention in my talk and in our program131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum13

Steps with most evidencemPINC results 2009-2015

13

16

79

74

85

19

39

90

89

93

24

57

62

70

90

All Ten Step policies

Community support

Show mothers how to feed

Prenatal education

Early contact and feeding

2015

2013

2009

Source CDC mPINC 200920132015

Presenter
Presentation Notes
This shows mPINC data from 2009 (before Alaska Breastfeeding Initiative kicked off in 2012)13132009 before ABI 132013 data collected during 2012 when ABI started itrsquos work on improving breast feeding outcomes through TEN STEPS132015 data collected during 2014 Akrsquos score (out of 100) remained the same No big leaps as seen from 2009-131313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 13

Alaska Breastfeeding Initiative

Presenter
Presentation Notes
httpspediatricsaappublicationsorgcontent1293e827fullcontent-block- AAP endorses TEN STEPS TO SUCCESSFUL BREASTFEEDING1313Hospital practices in the first hours and days after birth make the difference in whether and how long babies are breastfed Remember that is Step 4-9 13Step 4- help mothers initiate breastfeed asap (skin to skin)13Step 5- show mothers how to latch13Step 6- only breastmilk unless formula medically necessary13Step 7- Rooming in13Step 8- Breastfeeding on demand13Step 9 no pacifiers13 1313The International Code Marketing of Breastmilk Substitutes by offering education and educational material that promote human milk rather than other food and drinks and by refusing to accept or distribute free or subsidized supplies of breastmilk substitutes nipples and other feeding devices 1313of commercial discharge packs which contain samples of breastmilk substitutes adversely affects breastfeeding and there is no justification for giving them Second discontinuing the provision of formula in maternity facilities has been shown to be one of the most cost-effective health interventions known1313Hospital routines can help or hinder new mothers and babies while theyrsquore learning to breastfeed 131313CDCrsquos national survey of Maternity Practices in Infant Nutrition and Care (mPINC) is administered every two years to monitor and examine changes in practices over time at all hospitals and birth centers with registered maternity beds in the United States and Territories1313So our work will be officially evaluated by CDC in 2021 and results available 2022 1313But we are doing internal programmatic evaluations every year with the hospitals we have offered TEN STEP training 13We are offering technical assistance and sharing model TEN STEP POLICIES 13We recently helped Fairbanks write a grant to receive funds to concentrate specifically on the most evidenced steps I mentioned earlier STEP 3- prenatal and Step 10 community support 1313

1

image1png

Work on all strategies at once

Presenter
Presentation Notes
Our program WIC ABC many hospitals and ABI and partners are working on all 9 of CDC Guide to Strategies to Support Breastfeeding Mothers and Babies 1313That last one ldquoaddressing marketing of infant formulardquo is part of the 1313Strategy 9 is referred to you make hear it called the International Code of Marketing of Breast-milk Substitutes which means 13httpswwwcdcgovbreastfeedingpdfBF_guide_7pdf1313httpswwwcdcgovbreastfeedingpdfBF_guide_7pdf1313The International Code recommends 13No advertising of breast-milk substitutes directly to the public 13No free samples to mothers 13No promotion of products in health care facilities 13No commercial product representatives to advise mothers 13No gifts or personal samples to health workers 13No words or pictures idealizing artificial feeding including pictures of infants on the products 1313The International Code also states 13Information to health workers should be scientific and factual 13All information on artificial feeding including the labels should explain the benefits of breastfeeding and the costs and hazards associated with artificial feeding 13Unsuitable products such as condensed milk should not be promoted for babies 13All products should be of a high quality and take into account the climatic and storage conditions of the country where they are used 13131313

2019 Alaska Baby Friendly Hospitals

Over the Last 5 Years (2014-2019)

20 of all births will occur in baby friendly hospitalsbull Representing 55 of Alaska Natives

Source 2019 Alaska HAVRS (Number of births Alaska Native births)

Presenter
Presentation Notes
The baby friendly hospital initiative is a global program sponsored by the WHO and United Nations Childrens Fund (UNICEF) to encourage and recognize hospitals and birth centers that offer an optimal level of care for lactation based on the TEN STEPS to Successful Breastfeeding and the International Code of Marketing of Breast-milk substitutes1313Source Baby Friendly USA Baby Friendly Hospitals and Birth Centers designated as of June 2018 Available at httpwwwbabyfriendlyusaorg13 Baby Friendly USA reviewed policies and reviewed all criteria to get he designating as baby friendly Many hospitals implement the 10 steps without official baby friendly designation

How you can support breastfeeding

bull Prenatal breastfeeding education

bull Maternity centers show mothers how to breastfeed-early and often

bull Support after hospital discharge

Presenter
Presentation Notes
Remember the goal here is to concentrate on the steps that have the most evidence1313Ask for or help develop opportunities for prenatal breastfeeding education1313Maternity centers can show mothers how to breastfeed early and often Skin to skin without 30 minutes to 1 hour (vag) 30 min to 2 hours for c sect1313Support mothers and babies after discharge through peer support program breast feeding programs at early child education centers and support in workplace

Breastfeeding Improves Nutrition and is an Investment In Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to write down any questions you may have about Breast Feeding Initiative or breastfeeding in general while you listen to my friend and colleague Lori talk about how food service guidelines improve nutrition and is an investment in health

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Discuss lifespan of how we work with infants preschool school age and adults 13

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Dawn ldquoNow Irsquom going to let my friend and colleague Loti show you how food service guidelines improves nutrition and is an investment in health ldquo13____________________________________________________________________________________________________________________________________________________________________________13Lori Thank you Dawn for setting the stage 13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Donuts on the counterbull Chocolate or candy from your snack drawerbull Food from the vending machinebull Walk to the cafeteria or store for a healthy option

Itrsquos 3pm you worked through lunch and your belly is growling

Food Service Guidelines

Presenter
Presentation Notes
What we eat and drink impacts our health but we tend to eat whatrsquos readily available 1313Food Service Guidelines represent a voluntary set of best business practices that ensure safe healthy food options are available13The availability of healthy affordable foods contributes to a personrsquos diet and risk of diet-related chronic diseases13Fewer than 1 in 10 adults eat the recommended daily amount of fruits and vegetables1313What we eat and drink impacts our health but we tend to eat whatrsquos readily available 13The average American consuming more than one-third of their calories through foods prepared away from home organizations across Alaska and the country are realizing that the foods and beverages they offer at their work sites provide a significant opportunity to promote and improve employee health13Making healthier food and beverages available in public places lets families employees patients and children 13Eat healthy13Helps prevent weight gain and diseases like type 2 diabetes cancer and heart disease13

Food Service Guidelines

Goalsbull Healthier foods and

beverages bull Support local food

sourcing

Presenter
Presentation Notes
Healthier food and beverages available (cafeterias workplace coffee shops schools etc1313Local Food Sourcing includes farmers markets including at your work site mom and pop stores cars microgreens from Talkeetna that deliver to Anchorage seafood at farmers markets 1313Example Farm to table with our local farmers market in anchorage brought local chickens from homer to anchorage Previously available only sold to grocery stores and now available to direct consumers

Healthy Food Initiative

bull Established partnership with Alaska Native Tribal Health Consortium (ANTHC)bull Campus Healthy Food Project (CHeF)

bull Vending bull Coffee Cartsbull Cafeteriasbull Mini-Stores

Presenter
Presentation Notes
talk about ANTHC includes SCF and ANMC when the term campus is used give examples of food service facilities (vending coffee carts cafeterias mini-stores give counts for the campus talk about why this is a good location worksite lots of visitors of workers potentially impacted and visitor if you know those

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Presenter
Presentation Notes
I am going to walk through different examples of this wheel showing how Food Services Guidelines are developed and implemented For example understanding and knowing your leadership

Engage Stakeholders and Partners

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Community Support

Positive Responses ldquoThey taste greatrdquoldquoI like to feel energizedrdquo ldquoIt makes me feel more productive at workrdquo

bull Employees feel supportedbull Encouraged to take better

care of themselves bull Appreciate having healthy

options

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Food and Beverage Assessment

Examples include bull Fruit and Vegetablesbull Grainsbull Dairybull Beveragesbull Nutritional Labeling

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Update Food and Beverage Policy

bull Traditional Foods introduced into hospitals

bull Soda free Campus

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Review Purchasing and Agreement

Process for purchasing agreements

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Communication Strategies

Healthy Food Choices

Benefitsbull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancers

Source Dietary Guidelines for Americans 2015-2020 Eight Edition (pg 17)

Presenter
Presentation Notes
httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Fruit on the counterbull Nuts from your snack drawerbull Healthy Food from the vending machinebull Drive your car to the closest fast food joint

Itrsquos 3pm you worked through lunch and your belly is growling

Presenter
Presentation Notes
Making the healthy choice the easy choice

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to save any questions you may have while you listen to my friend and colleague Dawn talk about how active transportation improves physical activity and is an investment in health 13

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Active Transportation is a strategy to increase physical activity and works across the lifespan Think of strollering baby to a park walking child to day care school or the rest of us using active transportation to walk bike or bus to any destination we desire

Active Transportation Improves Physical Activity and is

an Investment in Health

Presenter
Presentation Notes
Imagine how much PA you would each tally if everyday you had a activity friendly route (safe route to walk your kids to school use transit carpool bike to meet friends at a restaurant grab groceries or arrive work Of course this would mean you would get more physical activity

Safer and Healthier Streets for EVERYONE

Active Transportation Initiative

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

2018 Physical Activity Guidelines

Adultsbull 150 minutes moderate

intensity per week

School-agebull 60 minutes or more every

day

Preschool bull Active throughout the day

httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf

Presenter
Presentation Notes
The Physical Activity Guidelines for Americans is issues by the US Dept of Health and Human Services The primary audience is policy makers and health professionals though it may also be interesting to members of the public The main ide behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits 1313Key Guidelines1313Adults should move more and sit less throughout the day Some physical activity is better than none 22 minutes or more every day combination of moderate and vigorous intensity with 2 or more days a week of muscle strengthening 1313School-age appropriate to age and enjoyable variety1313Preschool variety of active play throughout the day1313Source httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf1313So we know the guidelines for PA now13

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 13: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

American Academy of Pediatrics (AAP)Recommendations

bull Exclusive breastfeeding for about 6 months

bull Introduce foods at about 6 months

bull Continued breastfeeding 12 months or longer

Source Pediatrics March 2012 129 (3) e827-e841 DOI httpsdoiorg101542peds2011-3552

Presenter
Presentation Notes
13Breastfeeding is a natural and beneficial source of nutrition and provides the healthiest start for an infant and promotes a unique and emotional connection between mother and baby 1313The AAP policy Breastfeeding and the Use of Human Milk is one of the most accessed policies available from the AAP because of its importance for the health of families here in the US and throughout the world1313In the policy statement Breastfeeding and the Use of Human Milk published in the March 2012 issue of Pediatrics (published online Feb 27) the American Academy of Pediatrics (AAP) reaffirmed its recommendation of exclusive breastfeeding for about the first six months of a babys life followed by breastfeeding in combination with the introduction of complementary foods until at least 12 months of age and continuation of breastfeeding for as long as mutually desired by mother and baby 131313Source Pediatrics March 2012 129 (3) e827-e841 DOI httpsdoiorg101542peds2011-3552 13Source httpswwwaaporgen-usabout-the-aapaap-press-roompagesaap-reaffirms-breastfeeding-guidelinesaspx131313

Letrsquos monitor how Alaska is doing

Presenter
Presentation Notes
Letrsquos monitor how Alaska is doing according to Mothers and Hospital reports

Alaska PRAMS

What mothers report

Presenter
Presentation Notes
13Two reports that use CDC PRAMS as a Data Source 13httpdhssalaskagovdphChronicDocumentsObesitypubs2019ChildhoodPAN_Factspdf131313PRAMS started as an initiative to reduce infant mortality and low birthweight Three states do not participate CA ID and OH just interesting I will not share 1313Surveys mailed to women CDC survey ~150month telephone calls attempted to women who do not respond by mail Survey of mothers health before during and after pregnancy 13Birth records available when baby minimum of 2 months and a maximum of 6 months13Women whose babies have died are still included letters specific for grieving mothers are mailed out in these situations 13When birth multiple one infant is randomly selected and pending adopts are included as long as biological mother is identified on birth record13Randomly samples approximately 16 of all live births in Alaska13Alaskarsquos population is ~ 73700013About 66 are white 15 Alaska NativeAmerican Indian13Alaska PRAMS eligible population is ~11000yr13About 65 are white 25 Alaska Native13We were the 7th state to join PRAMS (now 47)13Wersquove collected 30 years of data (since 1990)13

Breastfeeding initiation 2017

bull Initiation rate of 93 top in the country (US Avg 88)bull Disparities exist but we know mothers of all ages race and

income levels can be successful at breastfeeding

httpdhssalaskagovdphChronicDocumentsObesitypubs2019ChildhoodPAN_Factspdf

Presenter
Presentation Notes
the surgeon general goes on to say ldquoMany mothers in the United States want to breastfeed and most tryrdquo Remember this is Step 4 of Ten Steps ldquoHelp Mother Breastfeedrdquo

Any breastfeeding at 8 weeks 2016

Source Alaska PRAMS FPL = Federal Poverty Level Note US value is from 2015 and based on weighted mean of 35 participating PRAMS programs meeting required response rate threshold set by CDC Source 2015 Alaska PRAMS survey (Pregnancy

Risk Assessment Monitoring System)

bull 8-week rate of 83 far exceeds the US bull Mothers of all ages race and income levels can be successful

at breastfeeding

Presenter
Presentation Notes
the surgeon general goes on to say ldquoMany mothers in the United States want to breastfeed and most tryrdquo 131313 And yet within only three months after giving birth more than two-thirds of breastfeeding mothers have already begun using formula By six months postpartum more than half of mothers have given up on breastfeeding and mothers who breastfeed one-year-olds or toddlers are a rarity in our societyrdquo131313Could be related to Step 3 Prenatal education Step 5 Show mothers how to breastfeed and how to maintain lactation even if separated from baby Step 10 Community Support 1313quote I read earlier ldquomany mothers in the US want to breastfeed and most tryrdquo Alaska is much the same Alaskarsquos high breastfeeding initiation rates show that most mothers in the AK want to breastfeed and start out doing so1313Overall AK rates exceed US rates You can see Alaskarsquos 8-week breastfeeding rate of 83 far exceeds the US comparison at 661313Younger and older mothers can both be successful at breastfeeding 1313mothers of all races and income level can do well with breastfeeding 1313Women with limited economic means can achieve breastfeeding1313Mothers of all ages race and income levels can be successful with breastfeeding 1313Source Alaska PRAMS FPL = Federal Poverty Level Note US value is from 2015 and based on weighted mean of 35 participating PRAMS programs meeting required response rate threshold set by CDC 1313Source Alaska Maternal and Child Health Data Book 2018 PRAMS edition1313

Why do Alaska mothers report stop breastfeeding

before their babies are 8 weeks old

bull Return to work or schoolbull No timebull No placebull Too painfulbull Not enough milk

Source 2015 Alaska PRAMS survey (Pregnancy Risk Assessment Monitoring System)

Presenter
Presentation Notes
According to the httpdhssalaskagovdphwcfhDocumentsmchepipramsAlaska_Breastfeeding_Topic_Report_2012-2014pdf

Alaska PRAMS Reports

By 8 weeks post-partum 50 of the mothers who stopped breastfeeding reported doing so because they thought that they did not have enough milk

20

SourcehttpdhssalaskagovdphwcfhDocumentsmchepipramsAlaska_Breastfeeding_Topic_Report_2012-2014pdf

Presenter
Presentation Notes
Mothers reported stopping because they felt they did not have enough milk Remember when I mentioned that the steps with the most evidence The TENS STEPS can educate mothers about how to realize if babies are getting enough milk 131313This information is from the 2015 Alaska PRAMS survey (Pregnancy Risk Assessment Monitoring System)13PRAMS asks Alaskan mothers for information about breastfeeding about 3-4 months after delivery1313PRAM is Randomly samples approximately 16 of all live births in Alaska13Alaskarsquos population is ~ 73230013About 71 are white 17 Alaska Native13Alaska PRAMS eligible population is ~11000yr13About 65 are white 25 Alaska Native13We were the 7th state to join PRAMS (now 40)13Wersquove collected 25 years of data (since 1990)1313Monthly batch sampled from Bureau of Vital Statistics birth records13Teenage mothers are included13PRAMS data are linked to the birth certificate13Higher risk moms are oversampled13Primarily mail w phone follow-up132-6 months after birth13Allows for postpartum questions 132 months (8 weeks) is the maximum age where all respondents are eligible to answer1313131313Mothers need good educationinformation about breastfeeding and baby health and behaviors1313This point many potential factors13motherrsquos lack of knowledge of baby behaviorhelliphelliphelliphellipcrying is not early cue13Latch issues13Checking wet diapers poo13Checking babyrsquos weight1313Any IBCLCs here 1313If mothers and babies donrsquot breastfeeding after 8 weekshelliphelliphelliphelliphellip1313The ten steps address thishelliphelliphelliphelliptalk about how13

Hospitals report

Presenter
Presentation Notes
In October 2003 CDC convened an expert panel of researchers with specific experience in surveillance and monitoring of hospital practices related to breastfeeding At the time no system in the US collected nationally representative data on these practices The Expert Panelrsquos recommendation was to establish an ongoing national system to monitor and evaluate hospital practices related to breastfeeding among all facilities that routinely provide intrapartum care in the US1313In 2007 CDC administered the first national survey of maternity practices related to breastfeeding known as the mPINC survey It is administered every two years to every facility in the US that routinely provides maternity care services and is completed by a key informant on behalf of his or her institution in their capacity as the person most knowledgeable about the relevant practices13

Ten Steps to Successful Breastfeeding Evidence-Based

Presenter
Presentation Notes
Ten Steps to Successful Breastfeeding in both these documents as evidence based strategies to improve breastfeeding outcomes
Presenter
Presentation Notes
13Ten steps ndashoverviewhelliplist all ten1313The ten steps to successful breastfeeding include 131 Hospital breastfeeding policies- that address all TEN STEPS 132 Staff education of breastfeeding best practices and even a designated staff member responsible for lactation support133 Pre an post partum breastfeeding education134 Help mothers breastfeed within the first birth hour135 Who mothers how to breastfeed and how to maintain lactation if separated from baby136 No formula unless medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers1310 And out of hospital community support where does mother find help at 2am if she needs breastfeeding support and assistance13131313ABI is the only effort in Alaska address steps 1-10 with birthing center staff 1313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum13
Presenter
Presentation Notes
5 Who mothers how to breastfeed and how to maintain lactation if separated from baby136 No formula unless medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers1310 And out of hospital community support where does mother find help at 2am if she needs breastfeeding support and assistance1313ABI is the only effort in Alaska address steps 1-10 with birthing center staff 1313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum131313Ten steps ndashoverviewhelliplist all ten1313The ten steps to successful breastfeeding include 131 Hospital breastfeeding policies- that address all TEN STEPS 132 Staff education of breastfeeding best practices133 Pre an post partum breastfeeding education for mothers and families134 Help mothers breastfeed within the first birth hour vag 2 hours csect135 Show mothers how to breastfeed and how to maintain lactation if separated from baby136 formula only if medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day- infant procedures to occur in same room as mother138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers for 1st 48 hours1310 And out of hospital community support where does mother go at 2am if she needs breastfeeding support and assistance1313ABI is the only effort in Alaska address steps 1-7 with birthing center staff 1313How to improve rate 1313Research shows certain steps have strongest evidence 13The steps with most evidence will get more attention in my talk and in our program131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum13

Steps with most evidencemPINC results 2009-2015

13

16

79

74

85

19

39

90

89

93

24

57

62

70

90

All Ten Step policies

Community support

Show mothers how to feed

Prenatal education

Early contact and feeding

2015

2013

2009

Source CDC mPINC 200920132015

Presenter
Presentation Notes
This shows mPINC data from 2009 (before Alaska Breastfeeding Initiative kicked off in 2012)13132009 before ABI 132013 data collected during 2012 when ABI started itrsquos work on improving breast feeding outcomes through TEN STEPS132015 data collected during 2014 Akrsquos score (out of 100) remained the same No big leaps as seen from 2009-131313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 13

Alaska Breastfeeding Initiative

Presenter
Presentation Notes
httpspediatricsaappublicationsorgcontent1293e827fullcontent-block- AAP endorses TEN STEPS TO SUCCESSFUL BREASTFEEDING1313Hospital practices in the first hours and days after birth make the difference in whether and how long babies are breastfed Remember that is Step 4-9 13Step 4- help mothers initiate breastfeed asap (skin to skin)13Step 5- show mothers how to latch13Step 6- only breastmilk unless formula medically necessary13Step 7- Rooming in13Step 8- Breastfeeding on demand13Step 9 no pacifiers13 1313The International Code Marketing of Breastmilk Substitutes by offering education and educational material that promote human milk rather than other food and drinks and by refusing to accept or distribute free or subsidized supplies of breastmilk substitutes nipples and other feeding devices 1313of commercial discharge packs which contain samples of breastmilk substitutes adversely affects breastfeeding and there is no justification for giving them Second discontinuing the provision of formula in maternity facilities has been shown to be one of the most cost-effective health interventions known1313Hospital routines can help or hinder new mothers and babies while theyrsquore learning to breastfeed 131313CDCrsquos national survey of Maternity Practices in Infant Nutrition and Care (mPINC) is administered every two years to monitor and examine changes in practices over time at all hospitals and birth centers with registered maternity beds in the United States and Territories1313So our work will be officially evaluated by CDC in 2021 and results available 2022 1313But we are doing internal programmatic evaluations every year with the hospitals we have offered TEN STEP training 13We are offering technical assistance and sharing model TEN STEP POLICIES 13We recently helped Fairbanks write a grant to receive funds to concentrate specifically on the most evidenced steps I mentioned earlier STEP 3- prenatal and Step 10 community support 1313

1

image1png

Work on all strategies at once

Presenter
Presentation Notes
Our program WIC ABC many hospitals and ABI and partners are working on all 9 of CDC Guide to Strategies to Support Breastfeeding Mothers and Babies 1313That last one ldquoaddressing marketing of infant formulardquo is part of the 1313Strategy 9 is referred to you make hear it called the International Code of Marketing of Breast-milk Substitutes which means 13httpswwwcdcgovbreastfeedingpdfBF_guide_7pdf1313httpswwwcdcgovbreastfeedingpdfBF_guide_7pdf1313The International Code recommends 13No advertising of breast-milk substitutes directly to the public 13No free samples to mothers 13No promotion of products in health care facilities 13No commercial product representatives to advise mothers 13No gifts or personal samples to health workers 13No words or pictures idealizing artificial feeding including pictures of infants on the products 1313The International Code also states 13Information to health workers should be scientific and factual 13All information on artificial feeding including the labels should explain the benefits of breastfeeding and the costs and hazards associated with artificial feeding 13Unsuitable products such as condensed milk should not be promoted for babies 13All products should be of a high quality and take into account the climatic and storage conditions of the country where they are used 13131313

2019 Alaska Baby Friendly Hospitals

Over the Last 5 Years (2014-2019)

20 of all births will occur in baby friendly hospitalsbull Representing 55 of Alaska Natives

Source 2019 Alaska HAVRS (Number of births Alaska Native births)

Presenter
Presentation Notes
The baby friendly hospital initiative is a global program sponsored by the WHO and United Nations Childrens Fund (UNICEF) to encourage and recognize hospitals and birth centers that offer an optimal level of care for lactation based on the TEN STEPS to Successful Breastfeeding and the International Code of Marketing of Breast-milk substitutes1313Source Baby Friendly USA Baby Friendly Hospitals and Birth Centers designated as of June 2018 Available at httpwwwbabyfriendlyusaorg13 Baby Friendly USA reviewed policies and reviewed all criteria to get he designating as baby friendly Many hospitals implement the 10 steps without official baby friendly designation

How you can support breastfeeding

bull Prenatal breastfeeding education

bull Maternity centers show mothers how to breastfeed-early and often

bull Support after hospital discharge

Presenter
Presentation Notes
Remember the goal here is to concentrate on the steps that have the most evidence1313Ask for or help develop opportunities for prenatal breastfeeding education1313Maternity centers can show mothers how to breastfeed early and often Skin to skin without 30 minutes to 1 hour (vag) 30 min to 2 hours for c sect1313Support mothers and babies after discharge through peer support program breast feeding programs at early child education centers and support in workplace

Breastfeeding Improves Nutrition and is an Investment In Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to write down any questions you may have about Breast Feeding Initiative or breastfeeding in general while you listen to my friend and colleague Lori talk about how food service guidelines improve nutrition and is an investment in health

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Discuss lifespan of how we work with infants preschool school age and adults 13

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Dawn ldquoNow Irsquom going to let my friend and colleague Loti show you how food service guidelines improves nutrition and is an investment in health ldquo13____________________________________________________________________________________________________________________________________________________________________________13Lori Thank you Dawn for setting the stage 13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Donuts on the counterbull Chocolate or candy from your snack drawerbull Food from the vending machinebull Walk to the cafeteria or store for a healthy option

Itrsquos 3pm you worked through lunch and your belly is growling

Food Service Guidelines

Presenter
Presentation Notes
What we eat and drink impacts our health but we tend to eat whatrsquos readily available 1313Food Service Guidelines represent a voluntary set of best business practices that ensure safe healthy food options are available13The availability of healthy affordable foods contributes to a personrsquos diet and risk of diet-related chronic diseases13Fewer than 1 in 10 adults eat the recommended daily amount of fruits and vegetables1313What we eat and drink impacts our health but we tend to eat whatrsquos readily available 13The average American consuming more than one-third of their calories through foods prepared away from home organizations across Alaska and the country are realizing that the foods and beverages they offer at their work sites provide a significant opportunity to promote and improve employee health13Making healthier food and beverages available in public places lets families employees patients and children 13Eat healthy13Helps prevent weight gain and diseases like type 2 diabetes cancer and heart disease13

Food Service Guidelines

Goalsbull Healthier foods and

beverages bull Support local food

sourcing

Presenter
Presentation Notes
Healthier food and beverages available (cafeterias workplace coffee shops schools etc1313Local Food Sourcing includes farmers markets including at your work site mom and pop stores cars microgreens from Talkeetna that deliver to Anchorage seafood at farmers markets 1313Example Farm to table with our local farmers market in anchorage brought local chickens from homer to anchorage Previously available only sold to grocery stores and now available to direct consumers

Healthy Food Initiative

bull Established partnership with Alaska Native Tribal Health Consortium (ANTHC)bull Campus Healthy Food Project (CHeF)

bull Vending bull Coffee Cartsbull Cafeteriasbull Mini-Stores

Presenter
Presentation Notes
talk about ANTHC includes SCF and ANMC when the term campus is used give examples of food service facilities (vending coffee carts cafeterias mini-stores give counts for the campus talk about why this is a good location worksite lots of visitors of workers potentially impacted and visitor if you know those

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Presenter
Presentation Notes
I am going to walk through different examples of this wheel showing how Food Services Guidelines are developed and implemented For example understanding and knowing your leadership

Engage Stakeholders and Partners

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Community Support

Positive Responses ldquoThey taste greatrdquoldquoI like to feel energizedrdquo ldquoIt makes me feel more productive at workrdquo

bull Employees feel supportedbull Encouraged to take better

care of themselves bull Appreciate having healthy

options

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Food and Beverage Assessment

Examples include bull Fruit and Vegetablesbull Grainsbull Dairybull Beveragesbull Nutritional Labeling

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Update Food and Beverage Policy

bull Traditional Foods introduced into hospitals

bull Soda free Campus

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Review Purchasing and Agreement

Process for purchasing agreements

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Communication Strategies

Healthy Food Choices

Benefitsbull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancers

Source Dietary Guidelines for Americans 2015-2020 Eight Edition (pg 17)

Presenter
Presentation Notes
httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Fruit on the counterbull Nuts from your snack drawerbull Healthy Food from the vending machinebull Drive your car to the closest fast food joint

Itrsquos 3pm you worked through lunch and your belly is growling

Presenter
Presentation Notes
Making the healthy choice the easy choice

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to save any questions you may have while you listen to my friend and colleague Dawn talk about how active transportation improves physical activity and is an investment in health 13

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Active Transportation is a strategy to increase physical activity and works across the lifespan Think of strollering baby to a park walking child to day care school or the rest of us using active transportation to walk bike or bus to any destination we desire

Active Transportation Improves Physical Activity and is

an Investment in Health

Presenter
Presentation Notes
Imagine how much PA you would each tally if everyday you had a activity friendly route (safe route to walk your kids to school use transit carpool bike to meet friends at a restaurant grab groceries or arrive work Of course this would mean you would get more physical activity

Safer and Healthier Streets for EVERYONE

Active Transportation Initiative

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

2018 Physical Activity Guidelines

Adultsbull 150 minutes moderate

intensity per week

School-agebull 60 minutes or more every

day

Preschool bull Active throughout the day

httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf

Presenter
Presentation Notes
The Physical Activity Guidelines for Americans is issues by the US Dept of Health and Human Services The primary audience is policy makers and health professionals though it may also be interesting to members of the public The main ide behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits 1313Key Guidelines1313Adults should move more and sit less throughout the day Some physical activity is better than none 22 minutes or more every day combination of moderate and vigorous intensity with 2 or more days a week of muscle strengthening 1313School-age appropriate to age and enjoyable variety1313Preschool variety of active play throughout the day1313Source httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf1313So we know the guidelines for PA now13

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 14: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Letrsquos monitor how Alaska is doing

Presenter
Presentation Notes
Letrsquos monitor how Alaska is doing according to Mothers and Hospital reports

Alaska PRAMS

What mothers report

Presenter
Presentation Notes
13Two reports that use CDC PRAMS as a Data Source 13httpdhssalaskagovdphChronicDocumentsObesitypubs2019ChildhoodPAN_Factspdf131313PRAMS started as an initiative to reduce infant mortality and low birthweight Three states do not participate CA ID and OH just interesting I will not share 1313Surveys mailed to women CDC survey ~150month telephone calls attempted to women who do not respond by mail Survey of mothers health before during and after pregnancy 13Birth records available when baby minimum of 2 months and a maximum of 6 months13Women whose babies have died are still included letters specific for grieving mothers are mailed out in these situations 13When birth multiple one infant is randomly selected and pending adopts are included as long as biological mother is identified on birth record13Randomly samples approximately 16 of all live births in Alaska13Alaskarsquos population is ~ 73700013About 66 are white 15 Alaska NativeAmerican Indian13Alaska PRAMS eligible population is ~11000yr13About 65 are white 25 Alaska Native13We were the 7th state to join PRAMS (now 47)13Wersquove collected 30 years of data (since 1990)13

Breastfeeding initiation 2017

bull Initiation rate of 93 top in the country (US Avg 88)bull Disparities exist but we know mothers of all ages race and

income levels can be successful at breastfeeding

httpdhssalaskagovdphChronicDocumentsObesitypubs2019ChildhoodPAN_Factspdf

Presenter
Presentation Notes
the surgeon general goes on to say ldquoMany mothers in the United States want to breastfeed and most tryrdquo Remember this is Step 4 of Ten Steps ldquoHelp Mother Breastfeedrdquo

Any breastfeeding at 8 weeks 2016

Source Alaska PRAMS FPL = Federal Poverty Level Note US value is from 2015 and based on weighted mean of 35 participating PRAMS programs meeting required response rate threshold set by CDC Source 2015 Alaska PRAMS survey (Pregnancy

Risk Assessment Monitoring System)

bull 8-week rate of 83 far exceeds the US bull Mothers of all ages race and income levels can be successful

at breastfeeding

Presenter
Presentation Notes
the surgeon general goes on to say ldquoMany mothers in the United States want to breastfeed and most tryrdquo 131313 And yet within only three months after giving birth more than two-thirds of breastfeeding mothers have already begun using formula By six months postpartum more than half of mothers have given up on breastfeeding and mothers who breastfeed one-year-olds or toddlers are a rarity in our societyrdquo131313Could be related to Step 3 Prenatal education Step 5 Show mothers how to breastfeed and how to maintain lactation even if separated from baby Step 10 Community Support 1313quote I read earlier ldquomany mothers in the US want to breastfeed and most tryrdquo Alaska is much the same Alaskarsquos high breastfeeding initiation rates show that most mothers in the AK want to breastfeed and start out doing so1313Overall AK rates exceed US rates You can see Alaskarsquos 8-week breastfeeding rate of 83 far exceeds the US comparison at 661313Younger and older mothers can both be successful at breastfeeding 1313mothers of all races and income level can do well with breastfeeding 1313Women with limited economic means can achieve breastfeeding1313Mothers of all ages race and income levels can be successful with breastfeeding 1313Source Alaska PRAMS FPL = Federal Poverty Level Note US value is from 2015 and based on weighted mean of 35 participating PRAMS programs meeting required response rate threshold set by CDC 1313Source Alaska Maternal and Child Health Data Book 2018 PRAMS edition1313

Why do Alaska mothers report stop breastfeeding

before their babies are 8 weeks old

bull Return to work or schoolbull No timebull No placebull Too painfulbull Not enough milk

Source 2015 Alaska PRAMS survey (Pregnancy Risk Assessment Monitoring System)

Presenter
Presentation Notes
According to the httpdhssalaskagovdphwcfhDocumentsmchepipramsAlaska_Breastfeeding_Topic_Report_2012-2014pdf

Alaska PRAMS Reports

By 8 weeks post-partum 50 of the mothers who stopped breastfeeding reported doing so because they thought that they did not have enough milk

20

SourcehttpdhssalaskagovdphwcfhDocumentsmchepipramsAlaska_Breastfeeding_Topic_Report_2012-2014pdf

Presenter
Presentation Notes
Mothers reported stopping because they felt they did not have enough milk Remember when I mentioned that the steps with the most evidence The TENS STEPS can educate mothers about how to realize if babies are getting enough milk 131313This information is from the 2015 Alaska PRAMS survey (Pregnancy Risk Assessment Monitoring System)13PRAMS asks Alaskan mothers for information about breastfeeding about 3-4 months after delivery1313PRAM is Randomly samples approximately 16 of all live births in Alaska13Alaskarsquos population is ~ 73230013About 71 are white 17 Alaska Native13Alaska PRAMS eligible population is ~11000yr13About 65 are white 25 Alaska Native13We were the 7th state to join PRAMS (now 40)13Wersquove collected 25 years of data (since 1990)1313Monthly batch sampled from Bureau of Vital Statistics birth records13Teenage mothers are included13PRAMS data are linked to the birth certificate13Higher risk moms are oversampled13Primarily mail w phone follow-up132-6 months after birth13Allows for postpartum questions 132 months (8 weeks) is the maximum age where all respondents are eligible to answer1313131313Mothers need good educationinformation about breastfeeding and baby health and behaviors1313This point many potential factors13motherrsquos lack of knowledge of baby behaviorhelliphelliphelliphellipcrying is not early cue13Latch issues13Checking wet diapers poo13Checking babyrsquos weight1313Any IBCLCs here 1313If mothers and babies donrsquot breastfeeding after 8 weekshelliphelliphelliphelliphellip1313The ten steps address thishelliphelliphelliphelliptalk about how13

Hospitals report

Presenter
Presentation Notes
In October 2003 CDC convened an expert panel of researchers with specific experience in surveillance and monitoring of hospital practices related to breastfeeding At the time no system in the US collected nationally representative data on these practices The Expert Panelrsquos recommendation was to establish an ongoing national system to monitor and evaluate hospital practices related to breastfeeding among all facilities that routinely provide intrapartum care in the US1313In 2007 CDC administered the first national survey of maternity practices related to breastfeeding known as the mPINC survey It is administered every two years to every facility in the US that routinely provides maternity care services and is completed by a key informant on behalf of his or her institution in their capacity as the person most knowledgeable about the relevant practices13

Ten Steps to Successful Breastfeeding Evidence-Based

Presenter
Presentation Notes
Ten Steps to Successful Breastfeeding in both these documents as evidence based strategies to improve breastfeeding outcomes
Presenter
Presentation Notes
13Ten steps ndashoverviewhelliplist all ten1313The ten steps to successful breastfeeding include 131 Hospital breastfeeding policies- that address all TEN STEPS 132 Staff education of breastfeeding best practices and even a designated staff member responsible for lactation support133 Pre an post partum breastfeeding education134 Help mothers breastfeed within the first birth hour135 Who mothers how to breastfeed and how to maintain lactation if separated from baby136 No formula unless medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers1310 And out of hospital community support where does mother find help at 2am if she needs breastfeeding support and assistance13131313ABI is the only effort in Alaska address steps 1-10 with birthing center staff 1313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum13
Presenter
Presentation Notes
5 Who mothers how to breastfeed and how to maintain lactation if separated from baby136 No formula unless medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers1310 And out of hospital community support where does mother find help at 2am if she needs breastfeeding support and assistance1313ABI is the only effort in Alaska address steps 1-10 with birthing center staff 1313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum131313Ten steps ndashoverviewhelliplist all ten1313The ten steps to successful breastfeeding include 131 Hospital breastfeeding policies- that address all TEN STEPS 132 Staff education of breastfeeding best practices133 Pre an post partum breastfeeding education for mothers and families134 Help mothers breastfeed within the first birth hour vag 2 hours csect135 Show mothers how to breastfeed and how to maintain lactation if separated from baby136 formula only if medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day- infant procedures to occur in same room as mother138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers for 1st 48 hours1310 And out of hospital community support where does mother go at 2am if she needs breastfeeding support and assistance1313ABI is the only effort in Alaska address steps 1-7 with birthing center staff 1313How to improve rate 1313Research shows certain steps have strongest evidence 13The steps with most evidence will get more attention in my talk and in our program131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum13

Steps with most evidencemPINC results 2009-2015

13

16

79

74

85

19

39

90

89

93

24

57

62

70

90

All Ten Step policies

Community support

Show mothers how to feed

Prenatal education

Early contact and feeding

2015

2013

2009

Source CDC mPINC 200920132015

Presenter
Presentation Notes
This shows mPINC data from 2009 (before Alaska Breastfeeding Initiative kicked off in 2012)13132009 before ABI 132013 data collected during 2012 when ABI started itrsquos work on improving breast feeding outcomes through TEN STEPS132015 data collected during 2014 Akrsquos score (out of 100) remained the same No big leaps as seen from 2009-131313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 13

Alaska Breastfeeding Initiative

Presenter
Presentation Notes
httpspediatricsaappublicationsorgcontent1293e827fullcontent-block- AAP endorses TEN STEPS TO SUCCESSFUL BREASTFEEDING1313Hospital practices in the first hours and days after birth make the difference in whether and how long babies are breastfed Remember that is Step 4-9 13Step 4- help mothers initiate breastfeed asap (skin to skin)13Step 5- show mothers how to latch13Step 6- only breastmilk unless formula medically necessary13Step 7- Rooming in13Step 8- Breastfeeding on demand13Step 9 no pacifiers13 1313The International Code Marketing of Breastmilk Substitutes by offering education and educational material that promote human milk rather than other food and drinks and by refusing to accept or distribute free or subsidized supplies of breastmilk substitutes nipples and other feeding devices 1313of commercial discharge packs which contain samples of breastmilk substitutes adversely affects breastfeeding and there is no justification for giving them Second discontinuing the provision of formula in maternity facilities has been shown to be one of the most cost-effective health interventions known1313Hospital routines can help or hinder new mothers and babies while theyrsquore learning to breastfeed 131313CDCrsquos national survey of Maternity Practices in Infant Nutrition and Care (mPINC) is administered every two years to monitor and examine changes in practices over time at all hospitals and birth centers with registered maternity beds in the United States and Territories1313So our work will be officially evaluated by CDC in 2021 and results available 2022 1313But we are doing internal programmatic evaluations every year with the hospitals we have offered TEN STEP training 13We are offering technical assistance and sharing model TEN STEP POLICIES 13We recently helped Fairbanks write a grant to receive funds to concentrate specifically on the most evidenced steps I mentioned earlier STEP 3- prenatal and Step 10 community support 1313

1

image1png

Work on all strategies at once

Presenter
Presentation Notes
Our program WIC ABC many hospitals and ABI and partners are working on all 9 of CDC Guide to Strategies to Support Breastfeeding Mothers and Babies 1313That last one ldquoaddressing marketing of infant formulardquo is part of the 1313Strategy 9 is referred to you make hear it called the International Code of Marketing of Breast-milk Substitutes which means 13httpswwwcdcgovbreastfeedingpdfBF_guide_7pdf1313httpswwwcdcgovbreastfeedingpdfBF_guide_7pdf1313The International Code recommends 13No advertising of breast-milk substitutes directly to the public 13No free samples to mothers 13No promotion of products in health care facilities 13No commercial product representatives to advise mothers 13No gifts or personal samples to health workers 13No words or pictures idealizing artificial feeding including pictures of infants on the products 1313The International Code also states 13Information to health workers should be scientific and factual 13All information on artificial feeding including the labels should explain the benefits of breastfeeding and the costs and hazards associated with artificial feeding 13Unsuitable products such as condensed milk should not be promoted for babies 13All products should be of a high quality and take into account the climatic and storage conditions of the country where they are used 13131313

2019 Alaska Baby Friendly Hospitals

Over the Last 5 Years (2014-2019)

20 of all births will occur in baby friendly hospitalsbull Representing 55 of Alaska Natives

Source 2019 Alaska HAVRS (Number of births Alaska Native births)

Presenter
Presentation Notes
The baby friendly hospital initiative is a global program sponsored by the WHO and United Nations Childrens Fund (UNICEF) to encourage and recognize hospitals and birth centers that offer an optimal level of care for lactation based on the TEN STEPS to Successful Breastfeeding and the International Code of Marketing of Breast-milk substitutes1313Source Baby Friendly USA Baby Friendly Hospitals and Birth Centers designated as of June 2018 Available at httpwwwbabyfriendlyusaorg13 Baby Friendly USA reviewed policies and reviewed all criteria to get he designating as baby friendly Many hospitals implement the 10 steps without official baby friendly designation

How you can support breastfeeding

bull Prenatal breastfeeding education

bull Maternity centers show mothers how to breastfeed-early and often

bull Support after hospital discharge

Presenter
Presentation Notes
Remember the goal here is to concentrate on the steps that have the most evidence1313Ask for or help develop opportunities for prenatal breastfeeding education1313Maternity centers can show mothers how to breastfeed early and often Skin to skin without 30 minutes to 1 hour (vag) 30 min to 2 hours for c sect1313Support mothers and babies after discharge through peer support program breast feeding programs at early child education centers and support in workplace

Breastfeeding Improves Nutrition and is an Investment In Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to write down any questions you may have about Breast Feeding Initiative or breastfeeding in general while you listen to my friend and colleague Lori talk about how food service guidelines improve nutrition and is an investment in health

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Discuss lifespan of how we work with infants preschool school age and adults 13

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Dawn ldquoNow Irsquom going to let my friend and colleague Loti show you how food service guidelines improves nutrition and is an investment in health ldquo13____________________________________________________________________________________________________________________________________________________________________________13Lori Thank you Dawn for setting the stage 13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Donuts on the counterbull Chocolate or candy from your snack drawerbull Food from the vending machinebull Walk to the cafeteria or store for a healthy option

Itrsquos 3pm you worked through lunch and your belly is growling

Food Service Guidelines

Presenter
Presentation Notes
What we eat and drink impacts our health but we tend to eat whatrsquos readily available 1313Food Service Guidelines represent a voluntary set of best business practices that ensure safe healthy food options are available13The availability of healthy affordable foods contributes to a personrsquos diet and risk of diet-related chronic diseases13Fewer than 1 in 10 adults eat the recommended daily amount of fruits and vegetables1313What we eat and drink impacts our health but we tend to eat whatrsquos readily available 13The average American consuming more than one-third of their calories through foods prepared away from home organizations across Alaska and the country are realizing that the foods and beverages they offer at their work sites provide a significant opportunity to promote and improve employee health13Making healthier food and beverages available in public places lets families employees patients and children 13Eat healthy13Helps prevent weight gain and diseases like type 2 diabetes cancer and heart disease13

Food Service Guidelines

Goalsbull Healthier foods and

beverages bull Support local food

sourcing

Presenter
Presentation Notes
Healthier food and beverages available (cafeterias workplace coffee shops schools etc1313Local Food Sourcing includes farmers markets including at your work site mom and pop stores cars microgreens from Talkeetna that deliver to Anchorage seafood at farmers markets 1313Example Farm to table with our local farmers market in anchorage brought local chickens from homer to anchorage Previously available only sold to grocery stores and now available to direct consumers

Healthy Food Initiative

bull Established partnership with Alaska Native Tribal Health Consortium (ANTHC)bull Campus Healthy Food Project (CHeF)

bull Vending bull Coffee Cartsbull Cafeteriasbull Mini-Stores

Presenter
Presentation Notes
talk about ANTHC includes SCF and ANMC when the term campus is used give examples of food service facilities (vending coffee carts cafeterias mini-stores give counts for the campus talk about why this is a good location worksite lots of visitors of workers potentially impacted and visitor if you know those

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Presenter
Presentation Notes
I am going to walk through different examples of this wheel showing how Food Services Guidelines are developed and implemented For example understanding and knowing your leadership

Engage Stakeholders and Partners

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Community Support

Positive Responses ldquoThey taste greatrdquoldquoI like to feel energizedrdquo ldquoIt makes me feel more productive at workrdquo

bull Employees feel supportedbull Encouraged to take better

care of themselves bull Appreciate having healthy

options

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Food and Beverage Assessment

Examples include bull Fruit and Vegetablesbull Grainsbull Dairybull Beveragesbull Nutritional Labeling

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Update Food and Beverage Policy

bull Traditional Foods introduced into hospitals

bull Soda free Campus

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Review Purchasing and Agreement

Process for purchasing agreements

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Communication Strategies

Healthy Food Choices

Benefitsbull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancers

Source Dietary Guidelines for Americans 2015-2020 Eight Edition (pg 17)

Presenter
Presentation Notes
httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Fruit on the counterbull Nuts from your snack drawerbull Healthy Food from the vending machinebull Drive your car to the closest fast food joint

Itrsquos 3pm you worked through lunch and your belly is growling

Presenter
Presentation Notes
Making the healthy choice the easy choice

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to save any questions you may have while you listen to my friend and colleague Dawn talk about how active transportation improves physical activity and is an investment in health 13

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Active Transportation is a strategy to increase physical activity and works across the lifespan Think of strollering baby to a park walking child to day care school or the rest of us using active transportation to walk bike or bus to any destination we desire

Active Transportation Improves Physical Activity and is

an Investment in Health

Presenter
Presentation Notes
Imagine how much PA you would each tally if everyday you had a activity friendly route (safe route to walk your kids to school use transit carpool bike to meet friends at a restaurant grab groceries or arrive work Of course this would mean you would get more physical activity

Safer and Healthier Streets for EVERYONE

Active Transportation Initiative

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

2018 Physical Activity Guidelines

Adultsbull 150 minutes moderate

intensity per week

School-agebull 60 minutes or more every

day

Preschool bull Active throughout the day

httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf

Presenter
Presentation Notes
The Physical Activity Guidelines for Americans is issues by the US Dept of Health and Human Services The primary audience is policy makers and health professionals though it may also be interesting to members of the public The main ide behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits 1313Key Guidelines1313Adults should move more and sit less throughout the day Some physical activity is better than none 22 minutes or more every day combination of moderate and vigorous intensity with 2 or more days a week of muscle strengthening 1313School-age appropriate to age and enjoyable variety1313Preschool variety of active play throughout the day1313Source httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf1313So we know the guidelines for PA now13

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 15: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Alaska PRAMS

What mothers report

Presenter
Presentation Notes
13Two reports that use CDC PRAMS as a Data Source 13httpdhssalaskagovdphChronicDocumentsObesitypubs2019ChildhoodPAN_Factspdf131313PRAMS started as an initiative to reduce infant mortality and low birthweight Three states do not participate CA ID and OH just interesting I will not share 1313Surveys mailed to women CDC survey ~150month telephone calls attempted to women who do not respond by mail Survey of mothers health before during and after pregnancy 13Birth records available when baby minimum of 2 months and a maximum of 6 months13Women whose babies have died are still included letters specific for grieving mothers are mailed out in these situations 13When birth multiple one infant is randomly selected and pending adopts are included as long as biological mother is identified on birth record13Randomly samples approximately 16 of all live births in Alaska13Alaskarsquos population is ~ 73700013About 66 are white 15 Alaska NativeAmerican Indian13Alaska PRAMS eligible population is ~11000yr13About 65 are white 25 Alaska Native13We were the 7th state to join PRAMS (now 47)13Wersquove collected 30 years of data (since 1990)13

Breastfeeding initiation 2017

bull Initiation rate of 93 top in the country (US Avg 88)bull Disparities exist but we know mothers of all ages race and

income levels can be successful at breastfeeding

httpdhssalaskagovdphChronicDocumentsObesitypubs2019ChildhoodPAN_Factspdf

Presenter
Presentation Notes
the surgeon general goes on to say ldquoMany mothers in the United States want to breastfeed and most tryrdquo Remember this is Step 4 of Ten Steps ldquoHelp Mother Breastfeedrdquo

Any breastfeeding at 8 weeks 2016

Source Alaska PRAMS FPL = Federal Poverty Level Note US value is from 2015 and based on weighted mean of 35 participating PRAMS programs meeting required response rate threshold set by CDC Source 2015 Alaska PRAMS survey (Pregnancy

Risk Assessment Monitoring System)

bull 8-week rate of 83 far exceeds the US bull Mothers of all ages race and income levels can be successful

at breastfeeding

Presenter
Presentation Notes
the surgeon general goes on to say ldquoMany mothers in the United States want to breastfeed and most tryrdquo 131313 And yet within only three months after giving birth more than two-thirds of breastfeeding mothers have already begun using formula By six months postpartum more than half of mothers have given up on breastfeeding and mothers who breastfeed one-year-olds or toddlers are a rarity in our societyrdquo131313Could be related to Step 3 Prenatal education Step 5 Show mothers how to breastfeed and how to maintain lactation even if separated from baby Step 10 Community Support 1313quote I read earlier ldquomany mothers in the US want to breastfeed and most tryrdquo Alaska is much the same Alaskarsquos high breastfeeding initiation rates show that most mothers in the AK want to breastfeed and start out doing so1313Overall AK rates exceed US rates You can see Alaskarsquos 8-week breastfeeding rate of 83 far exceeds the US comparison at 661313Younger and older mothers can both be successful at breastfeeding 1313mothers of all races and income level can do well with breastfeeding 1313Women with limited economic means can achieve breastfeeding1313Mothers of all ages race and income levels can be successful with breastfeeding 1313Source Alaska PRAMS FPL = Federal Poverty Level Note US value is from 2015 and based on weighted mean of 35 participating PRAMS programs meeting required response rate threshold set by CDC 1313Source Alaska Maternal and Child Health Data Book 2018 PRAMS edition1313

Why do Alaska mothers report stop breastfeeding

before their babies are 8 weeks old

bull Return to work or schoolbull No timebull No placebull Too painfulbull Not enough milk

Source 2015 Alaska PRAMS survey (Pregnancy Risk Assessment Monitoring System)

Presenter
Presentation Notes
According to the httpdhssalaskagovdphwcfhDocumentsmchepipramsAlaska_Breastfeeding_Topic_Report_2012-2014pdf

Alaska PRAMS Reports

By 8 weeks post-partum 50 of the mothers who stopped breastfeeding reported doing so because they thought that they did not have enough milk

20

SourcehttpdhssalaskagovdphwcfhDocumentsmchepipramsAlaska_Breastfeeding_Topic_Report_2012-2014pdf

Presenter
Presentation Notes
Mothers reported stopping because they felt they did not have enough milk Remember when I mentioned that the steps with the most evidence The TENS STEPS can educate mothers about how to realize if babies are getting enough milk 131313This information is from the 2015 Alaska PRAMS survey (Pregnancy Risk Assessment Monitoring System)13PRAMS asks Alaskan mothers for information about breastfeeding about 3-4 months after delivery1313PRAM is Randomly samples approximately 16 of all live births in Alaska13Alaskarsquos population is ~ 73230013About 71 are white 17 Alaska Native13Alaska PRAMS eligible population is ~11000yr13About 65 are white 25 Alaska Native13We were the 7th state to join PRAMS (now 40)13Wersquove collected 25 years of data (since 1990)1313Monthly batch sampled from Bureau of Vital Statistics birth records13Teenage mothers are included13PRAMS data are linked to the birth certificate13Higher risk moms are oversampled13Primarily mail w phone follow-up132-6 months after birth13Allows for postpartum questions 132 months (8 weeks) is the maximum age where all respondents are eligible to answer1313131313Mothers need good educationinformation about breastfeeding and baby health and behaviors1313This point many potential factors13motherrsquos lack of knowledge of baby behaviorhelliphelliphelliphellipcrying is not early cue13Latch issues13Checking wet diapers poo13Checking babyrsquos weight1313Any IBCLCs here 1313If mothers and babies donrsquot breastfeeding after 8 weekshelliphelliphelliphelliphellip1313The ten steps address thishelliphelliphelliphelliptalk about how13

Hospitals report

Presenter
Presentation Notes
In October 2003 CDC convened an expert panel of researchers with specific experience in surveillance and monitoring of hospital practices related to breastfeeding At the time no system in the US collected nationally representative data on these practices The Expert Panelrsquos recommendation was to establish an ongoing national system to monitor and evaluate hospital practices related to breastfeeding among all facilities that routinely provide intrapartum care in the US1313In 2007 CDC administered the first national survey of maternity practices related to breastfeeding known as the mPINC survey It is administered every two years to every facility in the US that routinely provides maternity care services and is completed by a key informant on behalf of his or her institution in their capacity as the person most knowledgeable about the relevant practices13

Ten Steps to Successful Breastfeeding Evidence-Based

Presenter
Presentation Notes
Ten Steps to Successful Breastfeeding in both these documents as evidence based strategies to improve breastfeeding outcomes
Presenter
Presentation Notes
13Ten steps ndashoverviewhelliplist all ten1313The ten steps to successful breastfeeding include 131 Hospital breastfeeding policies- that address all TEN STEPS 132 Staff education of breastfeeding best practices and even a designated staff member responsible for lactation support133 Pre an post partum breastfeeding education134 Help mothers breastfeed within the first birth hour135 Who mothers how to breastfeed and how to maintain lactation if separated from baby136 No formula unless medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers1310 And out of hospital community support where does mother find help at 2am if she needs breastfeeding support and assistance13131313ABI is the only effort in Alaska address steps 1-10 with birthing center staff 1313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum13
Presenter
Presentation Notes
5 Who mothers how to breastfeed and how to maintain lactation if separated from baby136 No formula unless medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers1310 And out of hospital community support where does mother find help at 2am if she needs breastfeeding support and assistance1313ABI is the only effort in Alaska address steps 1-10 with birthing center staff 1313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum131313Ten steps ndashoverviewhelliplist all ten1313The ten steps to successful breastfeeding include 131 Hospital breastfeeding policies- that address all TEN STEPS 132 Staff education of breastfeeding best practices133 Pre an post partum breastfeeding education for mothers and families134 Help mothers breastfeed within the first birth hour vag 2 hours csect135 Show mothers how to breastfeed and how to maintain lactation if separated from baby136 formula only if medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day- infant procedures to occur in same room as mother138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers for 1st 48 hours1310 And out of hospital community support where does mother go at 2am if she needs breastfeeding support and assistance1313ABI is the only effort in Alaska address steps 1-7 with birthing center staff 1313How to improve rate 1313Research shows certain steps have strongest evidence 13The steps with most evidence will get more attention in my talk and in our program131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum13

Steps with most evidencemPINC results 2009-2015

13

16

79

74

85

19

39

90

89

93

24

57

62

70

90

All Ten Step policies

Community support

Show mothers how to feed

Prenatal education

Early contact and feeding

2015

2013

2009

Source CDC mPINC 200920132015

Presenter
Presentation Notes
This shows mPINC data from 2009 (before Alaska Breastfeeding Initiative kicked off in 2012)13132009 before ABI 132013 data collected during 2012 when ABI started itrsquos work on improving breast feeding outcomes through TEN STEPS132015 data collected during 2014 Akrsquos score (out of 100) remained the same No big leaps as seen from 2009-131313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 13

Alaska Breastfeeding Initiative

Presenter
Presentation Notes
httpspediatricsaappublicationsorgcontent1293e827fullcontent-block- AAP endorses TEN STEPS TO SUCCESSFUL BREASTFEEDING1313Hospital practices in the first hours and days after birth make the difference in whether and how long babies are breastfed Remember that is Step 4-9 13Step 4- help mothers initiate breastfeed asap (skin to skin)13Step 5- show mothers how to latch13Step 6- only breastmilk unless formula medically necessary13Step 7- Rooming in13Step 8- Breastfeeding on demand13Step 9 no pacifiers13 1313The International Code Marketing of Breastmilk Substitutes by offering education and educational material that promote human milk rather than other food and drinks and by refusing to accept or distribute free or subsidized supplies of breastmilk substitutes nipples and other feeding devices 1313of commercial discharge packs which contain samples of breastmilk substitutes adversely affects breastfeeding and there is no justification for giving them Second discontinuing the provision of formula in maternity facilities has been shown to be one of the most cost-effective health interventions known1313Hospital routines can help or hinder new mothers and babies while theyrsquore learning to breastfeed 131313CDCrsquos national survey of Maternity Practices in Infant Nutrition and Care (mPINC) is administered every two years to monitor and examine changes in practices over time at all hospitals and birth centers with registered maternity beds in the United States and Territories1313So our work will be officially evaluated by CDC in 2021 and results available 2022 1313But we are doing internal programmatic evaluations every year with the hospitals we have offered TEN STEP training 13We are offering technical assistance and sharing model TEN STEP POLICIES 13We recently helped Fairbanks write a grant to receive funds to concentrate specifically on the most evidenced steps I mentioned earlier STEP 3- prenatal and Step 10 community support 1313

1

image1png

Work on all strategies at once

Presenter
Presentation Notes
Our program WIC ABC many hospitals and ABI and partners are working on all 9 of CDC Guide to Strategies to Support Breastfeeding Mothers and Babies 1313That last one ldquoaddressing marketing of infant formulardquo is part of the 1313Strategy 9 is referred to you make hear it called the International Code of Marketing of Breast-milk Substitutes which means 13httpswwwcdcgovbreastfeedingpdfBF_guide_7pdf1313httpswwwcdcgovbreastfeedingpdfBF_guide_7pdf1313The International Code recommends 13No advertising of breast-milk substitutes directly to the public 13No free samples to mothers 13No promotion of products in health care facilities 13No commercial product representatives to advise mothers 13No gifts or personal samples to health workers 13No words or pictures idealizing artificial feeding including pictures of infants on the products 1313The International Code also states 13Information to health workers should be scientific and factual 13All information on artificial feeding including the labels should explain the benefits of breastfeeding and the costs and hazards associated with artificial feeding 13Unsuitable products such as condensed milk should not be promoted for babies 13All products should be of a high quality and take into account the climatic and storage conditions of the country where they are used 13131313

2019 Alaska Baby Friendly Hospitals

Over the Last 5 Years (2014-2019)

20 of all births will occur in baby friendly hospitalsbull Representing 55 of Alaska Natives

Source 2019 Alaska HAVRS (Number of births Alaska Native births)

Presenter
Presentation Notes
The baby friendly hospital initiative is a global program sponsored by the WHO and United Nations Childrens Fund (UNICEF) to encourage and recognize hospitals and birth centers that offer an optimal level of care for lactation based on the TEN STEPS to Successful Breastfeeding and the International Code of Marketing of Breast-milk substitutes1313Source Baby Friendly USA Baby Friendly Hospitals and Birth Centers designated as of June 2018 Available at httpwwwbabyfriendlyusaorg13 Baby Friendly USA reviewed policies and reviewed all criteria to get he designating as baby friendly Many hospitals implement the 10 steps without official baby friendly designation

How you can support breastfeeding

bull Prenatal breastfeeding education

bull Maternity centers show mothers how to breastfeed-early and often

bull Support after hospital discharge

Presenter
Presentation Notes
Remember the goal here is to concentrate on the steps that have the most evidence1313Ask for or help develop opportunities for prenatal breastfeeding education1313Maternity centers can show mothers how to breastfeed early and often Skin to skin without 30 minutes to 1 hour (vag) 30 min to 2 hours for c sect1313Support mothers and babies after discharge through peer support program breast feeding programs at early child education centers and support in workplace

Breastfeeding Improves Nutrition and is an Investment In Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to write down any questions you may have about Breast Feeding Initiative or breastfeeding in general while you listen to my friend and colleague Lori talk about how food service guidelines improve nutrition and is an investment in health

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Discuss lifespan of how we work with infants preschool school age and adults 13

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Dawn ldquoNow Irsquom going to let my friend and colleague Loti show you how food service guidelines improves nutrition and is an investment in health ldquo13____________________________________________________________________________________________________________________________________________________________________________13Lori Thank you Dawn for setting the stage 13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Donuts on the counterbull Chocolate or candy from your snack drawerbull Food from the vending machinebull Walk to the cafeteria or store for a healthy option

Itrsquos 3pm you worked through lunch and your belly is growling

Food Service Guidelines

Presenter
Presentation Notes
What we eat and drink impacts our health but we tend to eat whatrsquos readily available 1313Food Service Guidelines represent a voluntary set of best business practices that ensure safe healthy food options are available13The availability of healthy affordable foods contributes to a personrsquos diet and risk of diet-related chronic diseases13Fewer than 1 in 10 adults eat the recommended daily amount of fruits and vegetables1313What we eat and drink impacts our health but we tend to eat whatrsquos readily available 13The average American consuming more than one-third of their calories through foods prepared away from home organizations across Alaska and the country are realizing that the foods and beverages they offer at their work sites provide a significant opportunity to promote and improve employee health13Making healthier food and beverages available in public places lets families employees patients and children 13Eat healthy13Helps prevent weight gain and diseases like type 2 diabetes cancer and heart disease13

Food Service Guidelines

Goalsbull Healthier foods and

beverages bull Support local food

sourcing

Presenter
Presentation Notes
Healthier food and beverages available (cafeterias workplace coffee shops schools etc1313Local Food Sourcing includes farmers markets including at your work site mom and pop stores cars microgreens from Talkeetna that deliver to Anchorage seafood at farmers markets 1313Example Farm to table with our local farmers market in anchorage brought local chickens from homer to anchorage Previously available only sold to grocery stores and now available to direct consumers

Healthy Food Initiative

bull Established partnership with Alaska Native Tribal Health Consortium (ANTHC)bull Campus Healthy Food Project (CHeF)

bull Vending bull Coffee Cartsbull Cafeteriasbull Mini-Stores

Presenter
Presentation Notes
talk about ANTHC includes SCF and ANMC when the term campus is used give examples of food service facilities (vending coffee carts cafeterias mini-stores give counts for the campus talk about why this is a good location worksite lots of visitors of workers potentially impacted and visitor if you know those

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Presenter
Presentation Notes
I am going to walk through different examples of this wheel showing how Food Services Guidelines are developed and implemented For example understanding and knowing your leadership

Engage Stakeholders and Partners

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Community Support

Positive Responses ldquoThey taste greatrdquoldquoI like to feel energizedrdquo ldquoIt makes me feel more productive at workrdquo

bull Employees feel supportedbull Encouraged to take better

care of themselves bull Appreciate having healthy

options

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Food and Beverage Assessment

Examples include bull Fruit and Vegetablesbull Grainsbull Dairybull Beveragesbull Nutritional Labeling

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Update Food and Beverage Policy

bull Traditional Foods introduced into hospitals

bull Soda free Campus

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Review Purchasing and Agreement

Process for purchasing agreements

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Communication Strategies

Healthy Food Choices

Benefitsbull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancers

Source Dietary Guidelines for Americans 2015-2020 Eight Edition (pg 17)

Presenter
Presentation Notes
httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Fruit on the counterbull Nuts from your snack drawerbull Healthy Food from the vending machinebull Drive your car to the closest fast food joint

Itrsquos 3pm you worked through lunch and your belly is growling

Presenter
Presentation Notes
Making the healthy choice the easy choice

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to save any questions you may have while you listen to my friend and colleague Dawn talk about how active transportation improves physical activity and is an investment in health 13

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Active Transportation is a strategy to increase physical activity and works across the lifespan Think of strollering baby to a park walking child to day care school or the rest of us using active transportation to walk bike or bus to any destination we desire

Active Transportation Improves Physical Activity and is

an Investment in Health

Presenter
Presentation Notes
Imagine how much PA you would each tally if everyday you had a activity friendly route (safe route to walk your kids to school use transit carpool bike to meet friends at a restaurant grab groceries or arrive work Of course this would mean you would get more physical activity

Safer and Healthier Streets for EVERYONE

Active Transportation Initiative

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

2018 Physical Activity Guidelines

Adultsbull 150 minutes moderate

intensity per week

School-agebull 60 minutes or more every

day

Preschool bull Active throughout the day

httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf

Presenter
Presentation Notes
The Physical Activity Guidelines for Americans is issues by the US Dept of Health and Human Services The primary audience is policy makers and health professionals though it may also be interesting to members of the public The main ide behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits 1313Key Guidelines1313Adults should move more and sit less throughout the day Some physical activity is better than none 22 minutes or more every day combination of moderate and vigorous intensity with 2 or more days a week of muscle strengthening 1313School-age appropriate to age and enjoyable variety1313Preschool variety of active play throughout the day1313Source httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf1313So we know the guidelines for PA now13

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 16: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

What mothers report

Presenter
Presentation Notes
13Two reports that use CDC PRAMS as a Data Source 13httpdhssalaskagovdphChronicDocumentsObesitypubs2019ChildhoodPAN_Factspdf131313PRAMS started as an initiative to reduce infant mortality and low birthweight Three states do not participate CA ID and OH just interesting I will not share 1313Surveys mailed to women CDC survey ~150month telephone calls attempted to women who do not respond by mail Survey of mothers health before during and after pregnancy 13Birth records available when baby minimum of 2 months and a maximum of 6 months13Women whose babies have died are still included letters specific for grieving mothers are mailed out in these situations 13When birth multiple one infant is randomly selected and pending adopts are included as long as biological mother is identified on birth record13Randomly samples approximately 16 of all live births in Alaska13Alaskarsquos population is ~ 73700013About 66 are white 15 Alaska NativeAmerican Indian13Alaska PRAMS eligible population is ~11000yr13About 65 are white 25 Alaska Native13We were the 7th state to join PRAMS (now 47)13Wersquove collected 30 years of data (since 1990)13

Breastfeeding initiation 2017

bull Initiation rate of 93 top in the country (US Avg 88)bull Disparities exist but we know mothers of all ages race and

income levels can be successful at breastfeeding

httpdhssalaskagovdphChronicDocumentsObesitypubs2019ChildhoodPAN_Factspdf

Presenter
Presentation Notes
the surgeon general goes on to say ldquoMany mothers in the United States want to breastfeed and most tryrdquo Remember this is Step 4 of Ten Steps ldquoHelp Mother Breastfeedrdquo

Any breastfeeding at 8 weeks 2016

Source Alaska PRAMS FPL = Federal Poverty Level Note US value is from 2015 and based on weighted mean of 35 participating PRAMS programs meeting required response rate threshold set by CDC Source 2015 Alaska PRAMS survey (Pregnancy

Risk Assessment Monitoring System)

bull 8-week rate of 83 far exceeds the US bull Mothers of all ages race and income levels can be successful

at breastfeeding

Presenter
Presentation Notes
the surgeon general goes on to say ldquoMany mothers in the United States want to breastfeed and most tryrdquo 131313 And yet within only three months after giving birth more than two-thirds of breastfeeding mothers have already begun using formula By six months postpartum more than half of mothers have given up on breastfeeding and mothers who breastfeed one-year-olds or toddlers are a rarity in our societyrdquo131313Could be related to Step 3 Prenatal education Step 5 Show mothers how to breastfeed and how to maintain lactation even if separated from baby Step 10 Community Support 1313quote I read earlier ldquomany mothers in the US want to breastfeed and most tryrdquo Alaska is much the same Alaskarsquos high breastfeeding initiation rates show that most mothers in the AK want to breastfeed and start out doing so1313Overall AK rates exceed US rates You can see Alaskarsquos 8-week breastfeeding rate of 83 far exceeds the US comparison at 661313Younger and older mothers can both be successful at breastfeeding 1313mothers of all races and income level can do well with breastfeeding 1313Women with limited economic means can achieve breastfeeding1313Mothers of all ages race and income levels can be successful with breastfeeding 1313Source Alaska PRAMS FPL = Federal Poverty Level Note US value is from 2015 and based on weighted mean of 35 participating PRAMS programs meeting required response rate threshold set by CDC 1313Source Alaska Maternal and Child Health Data Book 2018 PRAMS edition1313

Why do Alaska mothers report stop breastfeeding

before their babies are 8 weeks old

bull Return to work or schoolbull No timebull No placebull Too painfulbull Not enough milk

Source 2015 Alaska PRAMS survey (Pregnancy Risk Assessment Monitoring System)

Presenter
Presentation Notes
According to the httpdhssalaskagovdphwcfhDocumentsmchepipramsAlaska_Breastfeeding_Topic_Report_2012-2014pdf

Alaska PRAMS Reports

By 8 weeks post-partum 50 of the mothers who stopped breastfeeding reported doing so because they thought that they did not have enough milk

20

SourcehttpdhssalaskagovdphwcfhDocumentsmchepipramsAlaska_Breastfeeding_Topic_Report_2012-2014pdf

Presenter
Presentation Notes
Mothers reported stopping because they felt they did not have enough milk Remember when I mentioned that the steps with the most evidence The TENS STEPS can educate mothers about how to realize if babies are getting enough milk 131313This information is from the 2015 Alaska PRAMS survey (Pregnancy Risk Assessment Monitoring System)13PRAMS asks Alaskan mothers for information about breastfeeding about 3-4 months after delivery1313PRAM is Randomly samples approximately 16 of all live births in Alaska13Alaskarsquos population is ~ 73230013About 71 are white 17 Alaska Native13Alaska PRAMS eligible population is ~11000yr13About 65 are white 25 Alaska Native13We were the 7th state to join PRAMS (now 40)13Wersquove collected 25 years of data (since 1990)1313Monthly batch sampled from Bureau of Vital Statistics birth records13Teenage mothers are included13PRAMS data are linked to the birth certificate13Higher risk moms are oversampled13Primarily mail w phone follow-up132-6 months after birth13Allows for postpartum questions 132 months (8 weeks) is the maximum age where all respondents are eligible to answer1313131313Mothers need good educationinformation about breastfeeding and baby health and behaviors1313This point many potential factors13motherrsquos lack of knowledge of baby behaviorhelliphelliphelliphellipcrying is not early cue13Latch issues13Checking wet diapers poo13Checking babyrsquos weight1313Any IBCLCs here 1313If mothers and babies donrsquot breastfeeding after 8 weekshelliphelliphelliphelliphellip1313The ten steps address thishelliphelliphelliphelliptalk about how13

Hospitals report

Presenter
Presentation Notes
In October 2003 CDC convened an expert panel of researchers with specific experience in surveillance and monitoring of hospital practices related to breastfeeding At the time no system in the US collected nationally representative data on these practices The Expert Panelrsquos recommendation was to establish an ongoing national system to monitor and evaluate hospital practices related to breastfeeding among all facilities that routinely provide intrapartum care in the US1313In 2007 CDC administered the first national survey of maternity practices related to breastfeeding known as the mPINC survey It is administered every two years to every facility in the US that routinely provides maternity care services and is completed by a key informant on behalf of his or her institution in their capacity as the person most knowledgeable about the relevant practices13

Ten Steps to Successful Breastfeeding Evidence-Based

Presenter
Presentation Notes
Ten Steps to Successful Breastfeeding in both these documents as evidence based strategies to improve breastfeeding outcomes
Presenter
Presentation Notes
13Ten steps ndashoverviewhelliplist all ten1313The ten steps to successful breastfeeding include 131 Hospital breastfeeding policies- that address all TEN STEPS 132 Staff education of breastfeeding best practices and even a designated staff member responsible for lactation support133 Pre an post partum breastfeeding education134 Help mothers breastfeed within the first birth hour135 Who mothers how to breastfeed and how to maintain lactation if separated from baby136 No formula unless medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers1310 And out of hospital community support where does mother find help at 2am if she needs breastfeeding support and assistance13131313ABI is the only effort in Alaska address steps 1-10 with birthing center staff 1313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum13
Presenter
Presentation Notes
5 Who mothers how to breastfeed and how to maintain lactation if separated from baby136 No formula unless medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers1310 And out of hospital community support where does mother find help at 2am if she needs breastfeeding support and assistance1313ABI is the only effort in Alaska address steps 1-10 with birthing center staff 1313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum131313Ten steps ndashoverviewhelliplist all ten1313The ten steps to successful breastfeeding include 131 Hospital breastfeeding policies- that address all TEN STEPS 132 Staff education of breastfeeding best practices133 Pre an post partum breastfeeding education for mothers and families134 Help mothers breastfeed within the first birth hour vag 2 hours csect135 Show mothers how to breastfeed and how to maintain lactation if separated from baby136 formula only if medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day- infant procedures to occur in same room as mother138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers for 1st 48 hours1310 And out of hospital community support where does mother go at 2am if she needs breastfeeding support and assistance1313ABI is the only effort in Alaska address steps 1-7 with birthing center staff 1313How to improve rate 1313Research shows certain steps have strongest evidence 13The steps with most evidence will get more attention in my talk and in our program131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum13

Steps with most evidencemPINC results 2009-2015

13

16

79

74

85

19

39

90

89

93

24

57

62

70

90

All Ten Step policies

Community support

Show mothers how to feed

Prenatal education

Early contact and feeding

2015

2013

2009

Source CDC mPINC 200920132015

Presenter
Presentation Notes
This shows mPINC data from 2009 (before Alaska Breastfeeding Initiative kicked off in 2012)13132009 before ABI 132013 data collected during 2012 when ABI started itrsquos work on improving breast feeding outcomes through TEN STEPS132015 data collected during 2014 Akrsquos score (out of 100) remained the same No big leaps as seen from 2009-131313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 13

Alaska Breastfeeding Initiative

Presenter
Presentation Notes
httpspediatricsaappublicationsorgcontent1293e827fullcontent-block- AAP endorses TEN STEPS TO SUCCESSFUL BREASTFEEDING1313Hospital practices in the first hours and days after birth make the difference in whether and how long babies are breastfed Remember that is Step 4-9 13Step 4- help mothers initiate breastfeed asap (skin to skin)13Step 5- show mothers how to latch13Step 6- only breastmilk unless formula medically necessary13Step 7- Rooming in13Step 8- Breastfeeding on demand13Step 9 no pacifiers13 1313The International Code Marketing of Breastmilk Substitutes by offering education and educational material that promote human milk rather than other food and drinks and by refusing to accept or distribute free or subsidized supplies of breastmilk substitutes nipples and other feeding devices 1313of commercial discharge packs which contain samples of breastmilk substitutes adversely affects breastfeeding and there is no justification for giving them Second discontinuing the provision of formula in maternity facilities has been shown to be one of the most cost-effective health interventions known1313Hospital routines can help or hinder new mothers and babies while theyrsquore learning to breastfeed 131313CDCrsquos national survey of Maternity Practices in Infant Nutrition and Care (mPINC) is administered every two years to monitor and examine changes in practices over time at all hospitals and birth centers with registered maternity beds in the United States and Territories1313So our work will be officially evaluated by CDC in 2021 and results available 2022 1313But we are doing internal programmatic evaluations every year with the hospitals we have offered TEN STEP training 13We are offering technical assistance and sharing model TEN STEP POLICIES 13We recently helped Fairbanks write a grant to receive funds to concentrate specifically on the most evidenced steps I mentioned earlier STEP 3- prenatal and Step 10 community support 1313

1

image1png

Work on all strategies at once

Presenter
Presentation Notes
Our program WIC ABC many hospitals and ABI and partners are working on all 9 of CDC Guide to Strategies to Support Breastfeeding Mothers and Babies 1313That last one ldquoaddressing marketing of infant formulardquo is part of the 1313Strategy 9 is referred to you make hear it called the International Code of Marketing of Breast-milk Substitutes which means 13httpswwwcdcgovbreastfeedingpdfBF_guide_7pdf1313httpswwwcdcgovbreastfeedingpdfBF_guide_7pdf1313The International Code recommends 13No advertising of breast-milk substitutes directly to the public 13No free samples to mothers 13No promotion of products in health care facilities 13No commercial product representatives to advise mothers 13No gifts or personal samples to health workers 13No words or pictures idealizing artificial feeding including pictures of infants on the products 1313The International Code also states 13Information to health workers should be scientific and factual 13All information on artificial feeding including the labels should explain the benefits of breastfeeding and the costs and hazards associated with artificial feeding 13Unsuitable products such as condensed milk should not be promoted for babies 13All products should be of a high quality and take into account the climatic and storage conditions of the country where they are used 13131313

2019 Alaska Baby Friendly Hospitals

Over the Last 5 Years (2014-2019)

20 of all births will occur in baby friendly hospitalsbull Representing 55 of Alaska Natives

Source 2019 Alaska HAVRS (Number of births Alaska Native births)

Presenter
Presentation Notes
The baby friendly hospital initiative is a global program sponsored by the WHO and United Nations Childrens Fund (UNICEF) to encourage and recognize hospitals and birth centers that offer an optimal level of care for lactation based on the TEN STEPS to Successful Breastfeeding and the International Code of Marketing of Breast-milk substitutes1313Source Baby Friendly USA Baby Friendly Hospitals and Birth Centers designated as of June 2018 Available at httpwwwbabyfriendlyusaorg13 Baby Friendly USA reviewed policies and reviewed all criteria to get he designating as baby friendly Many hospitals implement the 10 steps without official baby friendly designation

How you can support breastfeeding

bull Prenatal breastfeeding education

bull Maternity centers show mothers how to breastfeed-early and often

bull Support after hospital discharge

Presenter
Presentation Notes
Remember the goal here is to concentrate on the steps that have the most evidence1313Ask for or help develop opportunities for prenatal breastfeeding education1313Maternity centers can show mothers how to breastfeed early and often Skin to skin without 30 minutes to 1 hour (vag) 30 min to 2 hours for c sect1313Support mothers and babies after discharge through peer support program breast feeding programs at early child education centers and support in workplace

Breastfeeding Improves Nutrition and is an Investment In Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to write down any questions you may have about Breast Feeding Initiative or breastfeeding in general while you listen to my friend and colleague Lori talk about how food service guidelines improve nutrition and is an investment in health

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Discuss lifespan of how we work with infants preschool school age and adults 13

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Dawn ldquoNow Irsquom going to let my friend and colleague Loti show you how food service guidelines improves nutrition and is an investment in health ldquo13____________________________________________________________________________________________________________________________________________________________________________13Lori Thank you Dawn for setting the stage 13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Donuts on the counterbull Chocolate or candy from your snack drawerbull Food from the vending machinebull Walk to the cafeteria or store for a healthy option

Itrsquos 3pm you worked through lunch and your belly is growling

Food Service Guidelines

Presenter
Presentation Notes
What we eat and drink impacts our health but we tend to eat whatrsquos readily available 1313Food Service Guidelines represent a voluntary set of best business practices that ensure safe healthy food options are available13The availability of healthy affordable foods contributes to a personrsquos diet and risk of diet-related chronic diseases13Fewer than 1 in 10 adults eat the recommended daily amount of fruits and vegetables1313What we eat and drink impacts our health but we tend to eat whatrsquos readily available 13The average American consuming more than one-third of their calories through foods prepared away from home organizations across Alaska and the country are realizing that the foods and beverages they offer at their work sites provide a significant opportunity to promote and improve employee health13Making healthier food and beverages available in public places lets families employees patients and children 13Eat healthy13Helps prevent weight gain and diseases like type 2 diabetes cancer and heart disease13

Food Service Guidelines

Goalsbull Healthier foods and

beverages bull Support local food

sourcing

Presenter
Presentation Notes
Healthier food and beverages available (cafeterias workplace coffee shops schools etc1313Local Food Sourcing includes farmers markets including at your work site mom and pop stores cars microgreens from Talkeetna that deliver to Anchorage seafood at farmers markets 1313Example Farm to table with our local farmers market in anchorage brought local chickens from homer to anchorage Previously available only sold to grocery stores and now available to direct consumers

Healthy Food Initiative

bull Established partnership with Alaska Native Tribal Health Consortium (ANTHC)bull Campus Healthy Food Project (CHeF)

bull Vending bull Coffee Cartsbull Cafeteriasbull Mini-Stores

Presenter
Presentation Notes
talk about ANTHC includes SCF and ANMC when the term campus is used give examples of food service facilities (vending coffee carts cafeterias mini-stores give counts for the campus talk about why this is a good location worksite lots of visitors of workers potentially impacted and visitor if you know those

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Presenter
Presentation Notes
I am going to walk through different examples of this wheel showing how Food Services Guidelines are developed and implemented For example understanding and knowing your leadership

Engage Stakeholders and Partners

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Community Support

Positive Responses ldquoThey taste greatrdquoldquoI like to feel energizedrdquo ldquoIt makes me feel more productive at workrdquo

bull Employees feel supportedbull Encouraged to take better

care of themselves bull Appreciate having healthy

options

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Food and Beverage Assessment

Examples include bull Fruit and Vegetablesbull Grainsbull Dairybull Beveragesbull Nutritional Labeling

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Update Food and Beverage Policy

bull Traditional Foods introduced into hospitals

bull Soda free Campus

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Review Purchasing and Agreement

Process for purchasing agreements

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Communication Strategies

Healthy Food Choices

Benefitsbull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancers

Source Dietary Guidelines for Americans 2015-2020 Eight Edition (pg 17)

Presenter
Presentation Notes
httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Fruit on the counterbull Nuts from your snack drawerbull Healthy Food from the vending machinebull Drive your car to the closest fast food joint

Itrsquos 3pm you worked through lunch and your belly is growling

Presenter
Presentation Notes
Making the healthy choice the easy choice

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to save any questions you may have while you listen to my friend and colleague Dawn talk about how active transportation improves physical activity and is an investment in health 13

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Active Transportation is a strategy to increase physical activity and works across the lifespan Think of strollering baby to a park walking child to day care school or the rest of us using active transportation to walk bike or bus to any destination we desire

Active Transportation Improves Physical Activity and is

an Investment in Health

Presenter
Presentation Notes
Imagine how much PA you would each tally if everyday you had a activity friendly route (safe route to walk your kids to school use transit carpool bike to meet friends at a restaurant grab groceries or arrive work Of course this would mean you would get more physical activity

Safer and Healthier Streets for EVERYONE

Active Transportation Initiative

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

2018 Physical Activity Guidelines

Adultsbull 150 minutes moderate

intensity per week

School-agebull 60 minutes or more every

day

Preschool bull Active throughout the day

httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf

Presenter
Presentation Notes
The Physical Activity Guidelines for Americans is issues by the US Dept of Health and Human Services The primary audience is policy makers and health professionals though it may also be interesting to members of the public The main ide behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits 1313Key Guidelines1313Adults should move more and sit less throughout the day Some physical activity is better than none 22 minutes or more every day combination of moderate and vigorous intensity with 2 or more days a week of muscle strengthening 1313School-age appropriate to age and enjoyable variety1313Preschool variety of active play throughout the day1313Source httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf1313So we know the guidelines for PA now13

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 17: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Breastfeeding initiation 2017

bull Initiation rate of 93 top in the country (US Avg 88)bull Disparities exist but we know mothers of all ages race and

income levels can be successful at breastfeeding

httpdhssalaskagovdphChronicDocumentsObesitypubs2019ChildhoodPAN_Factspdf

Presenter
Presentation Notes
the surgeon general goes on to say ldquoMany mothers in the United States want to breastfeed and most tryrdquo Remember this is Step 4 of Ten Steps ldquoHelp Mother Breastfeedrdquo

Any breastfeeding at 8 weeks 2016

Source Alaska PRAMS FPL = Federal Poverty Level Note US value is from 2015 and based on weighted mean of 35 participating PRAMS programs meeting required response rate threshold set by CDC Source 2015 Alaska PRAMS survey (Pregnancy

Risk Assessment Monitoring System)

bull 8-week rate of 83 far exceeds the US bull Mothers of all ages race and income levels can be successful

at breastfeeding

Presenter
Presentation Notes
the surgeon general goes on to say ldquoMany mothers in the United States want to breastfeed and most tryrdquo 131313 And yet within only three months after giving birth more than two-thirds of breastfeeding mothers have already begun using formula By six months postpartum more than half of mothers have given up on breastfeeding and mothers who breastfeed one-year-olds or toddlers are a rarity in our societyrdquo131313Could be related to Step 3 Prenatal education Step 5 Show mothers how to breastfeed and how to maintain lactation even if separated from baby Step 10 Community Support 1313quote I read earlier ldquomany mothers in the US want to breastfeed and most tryrdquo Alaska is much the same Alaskarsquos high breastfeeding initiation rates show that most mothers in the AK want to breastfeed and start out doing so1313Overall AK rates exceed US rates You can see Alaskarsquos 8-week breastfeeding rate of 83 far exceeds the US comparison at 661313Younger and older mothers can both be successful at breastfeeding 1313mothers of all races and income level can do well with breastfeeding 1313Women with limited economic means can achieve breastfeeding1313Mothers of all ages race and income levels can be successful with breastfeeding 1313Source Alaska PRAMS FPL = Federal Poverty Level Note US value is from 2015 and based on weighted mean of 35 participating PRAMS programs meeting required response rate threshold set by CDC 1313Source Alaska Maternal and Child Health Data Book 2018 PRAMS edition1313

Why do Alaska mothers report stop breastfeeding

before their babies are 8 weeks old

bull Return to work or schoolbull No timebull No placebull Too painfulbull Not enough milk

Source 2015 Alaska PRAMS survey (Pregnancy Risk Assessment Monitoring System)

Presenter
Presentation Notes
According to the httpdhssalaskagovdphwcfhDocumentsmchepipramsAlaska_Breastfeeding_Topic_Report_2012-2014pdf

Alaska PRAMS Reports

By 8 weeks post-partum 50 of the mothers who stopped breastfeeding reported doing so because they thought that they did not have enough milk

20

SourcehttpdhssalaskagovdphwcfhDocumentsmchepipramsAlaska_Breastfeeding_Topic_Report_2012-2014pdf

Presenter
Presentation Notes
Mothers reported stopping because they felt they did not have enough milk Remember when I mentioned that the steps with the most evidence The TENS STEPS can educate mothers about how to realize if babies are getting enough milk 131313This information is from the 2015 Alaska PRAMS survey (Pregnancy Risk Assessment Monitoring System)13PRAMS asks Alaskan mothers for information about breastfeeding about 3-4 months after delivery1313PRAM is Randomly samples approximately 16 of all live births in Alaska13Alaskarsquos population is ~ 73230013About 71 are white 17 Alaska Native13Alaska PRAMS eligible population is ~11000yr13About 65 are white 25 Alaska Native13We were the 7th state to join PRAMS (now 40)13Wersquove collected 25 years of data (since 1990)1313Monthly batch sampled from Bureau of Vital Statistics birth records13Teenage mothers are included13PRAMS data are linked to the birth certificate13Higher risk moms are oversampled13Primarily mail w phone follow-up132-6 months after birth13Allows for postpartum questions 132 months (8 weeks) is the maximum age where all respondents are eligible to answer1313131313Mothers need good educationinformation about breastfeeding and baby health and behaviors1313This point many potential factors13motherrsquos lack of knowledge of baby behaviorhelliphelliphelliphellipcrying is not early cue13Latch issues13Checking wet diapers poo13Checking babyrsquos weight1313Any IBCLCs here 1313If mothers and babies donrsquot breastfeeding after 8 weekshelliphelliphelliphelliphellip1313The ten steps address thishelliphelliphelliphelliptalk about how13

Hospitals report

Presenter
Presentation Notes
In October 2003 CDC convened an expert panel of researchers with specific experience in surveillance and monitoring of hospital practices related to breastfeeding At the time no system in the US collected nationally representative data on these practices The Expert Panelrsquos recommendation was to establish an ongoing national system to monitor and evaluate hospital practices related to breastfeeding among all facilities that routinely provide intrapartum care in the US1313In 2007 CDC administered the first national survey of maternity practices related to breastfeeding known as the mPINC survey It is administered every two years to every facility in the US that routinely provides maternity care services and is completed by a key informant on behalf of his or her institution in their capacity as the person most knowledgeable about the relevant practices13

Ten Steps to Successful Breastfeeding Evidence-Based

Presenter
Presentation Notes
Ten Steps to Successful Breastfeeding in both these documents as evidence based strategies to improve breastfeeding outcomes
Presenter
Presentation Notes
13Ten steps ndashoverviewhelliplist all ten1313The ten steps to successful breastfeeding include 131 Hospital breastfeeding policies- that address all TEN STEPS 132 Staff education of breastfeeding best practices and even a designated staff member responsible for lactation support133 Pre an post partum breastfeeding education134 Help mothers breastfeed within the first birth hour135 Who mothers how to breastfeed and how to maintain lactation if separated from baby136 No formula unless medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers1310 And out of hospital community support where does mother find help at 2am if she needs breastfeeding support and assistance13131313ABI is the only effort in Alaska address steps 1-10 with birthing center staff 1313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum13
Presenter
Presentation Notes
5 Who mothers how to breastfeed and how to maintain lactation if separated from baby136 No formula unless medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers1310 And out of hospital community support where does mother find help at 2am if she needs breastfeeding support and assistance1313ABI is the only effort in Alaska address steps 1-10 with birthing center staff 1313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum131313Ten steps ndashoverviewhelliplist all ten1313The ten steps to successful breastfeeding include 131 Hospital breastfeeding policies- that address all TEN STEPS 132 Staff education of breastfeeding best practices133 Pre an post partum breastfeeding education for mothers and families134 Help mothers breastfeed within the first birth hour vag 2 hours csect135 Show mothers how to breastfeed and how to maintain lactation if separated from baby136 formula only if medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day- infant procedures to occur in same room as mother138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers for 1st 48 hours1310 And out of hospital community support where does mother go at 2am if she needs breastfeeding support and assistance1313ABI is the only effort in Alaska address steps 1-7 with birthing center staff 1313How to improve rate 1313Research shows certain steps have strongest evidence 13The steps with most evidence will get more attention in my talk and in our program131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum13

Steps with most evidencemPINC results 2009-2015

13

16

79

74

85

19

39

90

89

93

24

57

62

70

90

All Ten Step policies

Community support

Show mothers how to feed

Prenatal education

Early contact and feeding

2015

2013

2009

Source CDC mPINC 200920132015

Presenter
Presentation Notes
This shows mPINC data from 2009 (before Alaska Breastfeeding Initiative kicked off in 2012)13132009 before ABI 132013 data collected during 2012 when ABI started itrsquos work on improving breast feeding outcomes through TEN STEPS132015 data collected during 2014 Akrsquos score (out of 100) remained the same No big leaps as seen from 2009-131313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 13

Alaska Breastfeeding Initiative

Presenter
Presentation Notes
httpspediatricsaappublicationsorgcontent1293e827fullcontent-block- AAP endorses TEN STEPS TO SUCCESSFUL BREASTFEEDING1313Hospital practices in the first hours and days after birth make the difference in whether and how long babies are breastfed Remember that is Step 4-9 13Step 4- help mothers initiate breastfeed asap (skin to skin)13Step 5- show mothers how to latch13Step 6- only breastmilk unless formula medically necessary13Step 7- Rooming in13Step 8- Breastfeeding on demand13Step 9 no pacifiers13 1313The International Code Marketing of Breastmilk Substitutes by offering education and educational material that promote human milk rather than other food and drinks and by refusing to accept or distribute free or subsidized supplies of breastmilk substitutes nipples and other feeding devices 1313of commercial discharge packs which contain samples of breastmilk substitutes adversely affects breastfeeding and there is no justification for giving them Second discontinuing the provision of formula in maternity facilities has been shown to be one of the most cost-effective health interventions known1313Hospital routines can help or hinder new mothers and babies while theyrsquore learning to breastfeed 131313CDCrsquos national survey of Maternity Practices in Infant Nutrition and Care (mPINC) is administered every two years to monitor and examine changes in practices over time at all hospitals and birth centers with registered maternity beds in the United States and Territories1313So our work will be officially evaluated by CDC in 2021 and results available 2022 1313But we are doing internal programmatic evaluations every year with the hospitals we have offered TEN STEP training 13We are offering technical assistance and sharing model TEN STEP POLICIES 13We recently helped Fairbanks write a grant to receive funds to concentrate specifically on the most evidenced steps I mentioned earlier STEP 3- prenatal and Step 10 community support 1313

1

image1png

Work on all strategies at once

Presenter
Presentation Notes
Our program WIC ABC many hospitals and ABI and partners are working on all 9 of CDC Guide to Strategies to Support Breastfeeding Mothers and Babies 1313That last one ldquoaddressing marketing of infant formulardquo is part of the 1313Strategy 9 is referred to you make hear it called the International Code of Marketing of Breast-milk Substitutes which means 13httpswwwcdcgovbreastfeedingpdfBF_guide_7pdf1313httpswwwcdcgovbreastfeedingpdfBF_guide_7pdf1313The International Code recommends 13No advertising of breast-milk substitutes directly to the public 13No free samples to mothers 13No promotion of products in health care facilities 13No commercial product representatives to advise mothers 13No gifts or personal samples to health workers 13No words or pictures idealizing artificial feeding including pictures of infants on the products 1313The International Code also states 13Information to health workers should be scientific and factual 13All information on artificial feeding including the labels should explain the benefits of breastfeeding and the costs and hazards associated with artificial feeding 13Unsuitable products such as condensed milk should not be promoted for babies 13All products should be of a high quality and take into account the climatic and storage conditions of the country where they are used 13131313

2019 Alaska Baby Friendly Hospitals

Over the Last 5 Years (2014-2019)

20 of all births will occur in baby friendly hospitalsbull Representing 55 of Alaska Natives

Source 2019 Alaska HAVRS (Number of births Alaska Native births)

Presenter
Presentation Notes
The baby friendly hospital initiative is a global program sponsored by the WHO and United Nations Childrens Fund (UNICEF) to encourage and recognize hospitals and birth centers that offer an optimal level of care for lactation based on the TEN STEPS to Successful Breastfeeding and the International Code of Marketing of Breast-milk substitutes1313Source Baby Friendly USA Baby Friendly Hospitals and Birth Centers designated as of June 2018 Available at httpwwwbabyfriendlyusaorg13 Baby Friendly USA reviewed policies and reviewed all criteria to get he designating as baby friendly Many hospitals implement the 10 steps without official baby friendly designation

How you can support breastfeeding

bull Prenatal breastfeeding education

bull Maternity centers show mothers how to breastfeed-early and often

bull Support after hospital discharge

Presenter
Presentation Notes
Remember the goal here is to concentrate on the steps that have the most evidence1313Ask for or help develop opportunities for prenatal breastfeeding education1313Maternity centers can show mothers how to breastfeed early and often Skin to skin without 30 minutes to 1 hour (vag) 30 min to 2 hours for c sect1313Support mothers and babies after discharge through peer support program breast feeding programs at early child education centers and support in workplace

Breastfeeding Improves Nutrition and is an Investment In Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to write down any questions you may have about Breast Feeding Initiative or breastfeeding in general while you listen to my friend and colleague Lori talk about how food service guidelines improve nutrition and is an investment in health

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Discuss lifespan of how we work with infants preschool school age and adults 13

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Dawn ldquoNow Irsquom going to let my friend and colleague Loti show you how food service guidelines improves nutrition and is an investment in health ldquo13____________________________________________________________________________________________________________________________________________________________________________13Lori Thank you Dawn for setting the stage 13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Donuts on the counterbull Chocolate or candy from your snack drawerbull Food from the vending machinebull Walk to the cafeteria or store for a healthy option

Itrsquos 3pm you worked through lunch and your belly is growling

Food Service Guidelines

Presenter
Presentation Notes
What we eat and drink impacts our health but we tend to eat whatrsquos readily available 1313Food Service Guidelines represent a voluntary set of best business practices that ensure safe healthy food options are available13The availability of healthy affordable foods contributes to a personrsquos diet and risk of diet-related chronic diseases13Fewer than 1 in 10 adults eat the recommended daily amount of fruits and vegetables1313What we eat and drink impacts our health but we tend to eat whatrsquos readily available 13The average American consuming more than one-third of their calories through foods prepared away from home organizations across Alaska and the country are realizing that the foods and beverages they offer at their work sites provide a significant opportunity to promote and improve employee health13Making healthier food and beverages available in public places lets families employees patients and children 13Eat healthy13Helps prevent weight gain and diseases like type 2 diabetes cancer and heart disease13

Food Service Guidelines

Goalsbull Healthier foods and

beverages bull Support local food

sourcing

Presenter
Presentation Notes
Healthier food and beverages available (cafeterias workplace coffee shops schools etc1313Local Food Sourcing includes farmers markets including at your work site mom and pop stores cars microgreens from Talkeetna that deliver to Anchorage seafood at farmers markets 1313Example Farm to table with our local farmers market in anchorage brought local chickens from homer to anchorage Previously available only sold to grocery stores and now available to direct consumers

Healthy Food Initiative

bull Established partnership with Alaska Native Tribal Health Consortium (ANTHC)bull Campus Healthy Food Project (CHeF)

bull Vending bull Coffee Cartsbull Cafeteriasbull Mini-Stores

Presenter
Presentation Notes
talk about ANTHC includes SCF and ANMC when the term campus is used give examples of food service facilities (vending coffee carts cafeterias mini-stores give counts for the campus talk about why this is a good location worksite lots of visitors of workers potentially impacted and visitor if you know those

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Presenter
Presentation Notes
I am going to walk through different examples of this wheel showing how Food Services Guidelines are developed and implemented For example understanding and knowing your leadership

Engage Stakeholders and Partners

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Community Support

Positive Responses ldquoThey taste greatrdquoldquoI like to feel energizedrdquo ldquoIt makes me feel more productive at workrdquo

bull Employees feel supportedbull Encouraged to take better

care of themselves bull Appreciate having healthy

options

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Food and Beverage Assessment

Examples include bull Fruit and Vegetablesbull Grainsbull Dairybull Beveragesbull Nutritional Labeling

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Update Food and Beverage Policy

bull Traditional Foods introduced into hospitals

bull Soda free Campus

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Review Purchasing and Agreement

Process for purchasing agreements

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Communication Strategies

Healthy Food Choices

Benefitsbull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancers

Source Dietary Guidelines for Americans 2015-2020 Eight Edition (pg 17)

Presenter
Presentation Notes
httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Fruit on the counterbull Nuts from your snack drawerbull Healthy Food from the vending machinebull Drive your car to the closest fast food joint

Itrsquos 3pm you worked through lunch and your belly is growling

Presenter
Presentation Notes
Making the healthy choice the easy choice

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to save any questions you may have while you listen to my friend and colleague Dawn talk about how active transportation improves physical activity and is an investment in health 13

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Active Transportation is a strategy to increase physical activity and works across the lifespan Think of strollering baby to a park walking child to day care school or the rest of us using active transportation to walk bike or bus to any destination we desire

Active Transportation Improves Physical Activity and is

an Investment in Health

Presenter
Presentation Notes
Imagine how much PA you would each tally if everyday you had a activity friendly route (safe route to walk your kids to school use transit carpool bike to meet friends at a restaurant grab groceries or arrive work Of course this would mean you would get more physical activity

Safer and Healthier Streets for EVERYONE

Active Transportation Initiative

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

2018 Physical Activity Guidelines

Adultsbull 150 minutes moderate

intensity per week

School-agebull 60 minutes or more every

day

Preschool bull Active throughout the day

httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf

Presenter
Presentation Notes
The Physical Activity Guidelines for Americans is issues by the US Dept of Health and Human Services The primary audience is policy makers and health professionals though it may also be interesting to members of the public The main ide behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits 1313Key Guidelines1313Adults should move more and sit less throughout the day Some physical activity is better than none 22 minutes or more every day combination of moderate and vigorous intensity with 2 or more days a week of muscle strengthening 1313School-age appropriate to age and enjoyable variety1313Preschool variety of active play throughout the day1313Source httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf1313So we know the guidelines for PA now13

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 18: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Any breastfeeding at 8 weeks 2016

Source Alaska PRAMS FPL = Federal Poverty Level Note US value is from 2015 and based on weighted mean of 35 participating PRAMS programs meeting required response rate threshold set by CDC Source 2015 Alaska PRAMS survey (Pregnancy

Risk Assessment Monitoring System)

bull 8-week rate of 83 far exceeds the US bull Mothers of all ages race and income levels can be successful

at breastfeeding

Presenter
Presentation Notes
the surgeon general goes on to say ldquoMany mothers in the United States want to breastfeed and most tryrdquo 131313 And yet within only three months after giving birth more than two-thirds of breastfeeding mothers have already begun using formula By six months postpartum more than half of mothers have given up on breastfeeding and mothers who breastfeed one-year-olds or toddlers are a rarity in our societyrdquo131313Could be related to Step 3 Prenatal education Step 5 Show mothers how to breastfeed and how to maintain lactation even if separated from baby Step 10 Community Support 1313quote I read earlier ldquomany mothers in the US want to breastfeed and most tryrdquo Alaska is much the same Alaskarsquos high breastfeeding initiation rates show that most mothers in the AK want to breastfeed and start out doing so1313Overall AK rates exceed US rates You can see Alaskarsquos 8-week breastfeeding rate of 83 far exceeds the US comparison at 661313Younger and older mothers can both be successful at breastfeeding 1313mothers of all races and income level can do well with breastfeeding 1313Women with limited economic means can achieve breastfeeding1313Mothers of all ages race and income levels can be successful with breastfeeding 1313Source Alaska PRAMS FPL = Federal Poverty Level Note US value is from 2015 and based on weighted mean of 35 participating PRAMS programs meeting required response rate threshold set by CDC 1313Source Alaska Maternal and Child Health Data Book 2018 PRAMS edition1313

Why do Alaska mothers report stop breastfeeding

before their babies are 8 weeks old

bull Return to work or schoolbull No timebull No placebull Too painfulbull Not enough milk

Source 2015 Alaska PRAMS survey (Pregnancy Risk Assessment Monitoring System)

Presenter
Presentation Notes
According to the httpdhssalaskagovdphwcfhDocumentsmchepipramsAlaska_Breastfeeding_Topic_Report_2012-2014pdf

Alaska PRAMS Reports

By 8 weeks post-partum 50 of the mothers who stopped breastfeeding reported doing so because they thought that they did not have enough milk

20

SourcehttpdhssalaskagovdphwcfhDocumentsmchepipramsAlaska_Breastfeeding_Topic_Report_2012-2014pdf

Presenter
Presentation Notes
Mothers reported stopping because they felt they did not have enough milk Remember when I mentioned that the steps with the most evidence The TENS STEPS can educate mothers about how to realize if babies are getting enough milk 131313This information is from the 2015 Alaska PRAMS survey (Pregnancy Risk Assessment Monitoring System)13PRAMS asks Alaskan mothers for information about breastfeeding about 3-4 months after delivery1313PRAM is Randomly samples approximately 16 of all live births in Alaska13Alaskarsquos population is ~ 73230013About 71 are white 17 Alaska Native13Alaska PRAMS eligible population is ~11000yr13About 65 are white 25 Alaska Native13We were the 7th state to join PRAMS (now 40)13Wersquove collected 25 years of data (since 1990)1313Monthly batch sampled from Bureau of Vital Statistics birth records13Teenage mothers are included13PRAMS data are linked to the birth certificate13Higher risk moms are oversampled13Primarily mail w phone follow-up132-6 months after birth13Allows for postpartum questions 132 months (8 weeks) is the maximum age where all respondents are eligible to answer1313131313Mothers need good educationinformation about breastfeeding and baby health and behaviors1313This point many potential factors13motherrsquos lack of knowledge of baby behaviorhelliphelliphelliphellipcrying is not early cue13Latch issues13Checking wet diapers poo13Checking babyrsquos weight1313Any IBCLCs here 1313If mothers and babies donrsquot breastfeeding after 8 weekshelliphelliphelliphelliphellip1313The ten steps address thishelliphelliphelliphelliptalk about how13

Hospitals report

Presenter
Presentation Notes
In October 2003 CDC convened an expert panel of researchers with specific experience in surveillance and monitoring of hospital practices related to breastfeeding At the time no system in the US collected nationally representative data on these practices The Expert Panelrsquos recommendation was to establish an ongoing national system to monitor and evaluate hospital practices related to breastfeeding among all facilities that routinely provide intrapartum care in the US1313In 2007 CDC administered the first national survey of maternity practices related to breastfeeding known as the mPINC survey It is administered every two years to every facility in the US that routinely provides maternity care services and is completed by a key informant on behalf of his or her institution in their capacity as the person most knowledgeable about the relevant practices13

Ten Steps to Successful Breastfeeding Evidence-Based

Presenter
Presentation Notes
Ten Steps to Successful Breastfeeding in both these documents as evidence based strategies to improve breastfeeding outcomes
Presenter
Presentation Notes
13Ten steps ndashoverviewhelliplist all ten1313The ten steps to successful breastfeeding include 131 Hospital breastfeeding policies- that address all TEN STEPS 132 Staff education of breastfeeding best practices and even a designated staff member responsible for lactation support133 Pre an post partum breastfeeding education134 Help mothers breastfeed within the first birth hour135 Who mothers how to breastfeed and how to maintain lactation if separated from baby136 No formula unless medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers1310 And out of hospital community support where does mother find help at 2am if she needs breastfeeding support and assistance13131313ABI is the only effort in Alaska address steps 1-10 with birthing center staff 1313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum13
Presenter
Presentation Notes
5 Who mothers how to breastfeed and how to maintain lactation if separated from baby136 No formula unless medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers1310 And out of hospital community support where does mother find help at 2am if she needs breastfeeding support and assistance1313ABI is the only effort in Alaska address steps 1-10 with birthing center staff 1313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum131313Ten steps ndashoverviewhelliplist all ten1313The ten steps to successful breastfeeding include 131 Hospital breastfeeding policies- that address all TEN STEPS 132 Staff education of breastfeeding best practices133 Pre an post partum breastfeeding education for mothers and families134 Help mothers breastfeed within the first birth hour vag 2 hours csect135 Show mothers how to breastfeed and how to maintain lactation if separated from baby136 formula only if medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day- infant procedures to occur in same room as mother138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers for 1st 48 hours1310 And out of hospital community support where does mother go at 2am if she needs breastfeeding support and assistance1313ABI is the only effort in Alaska address steps 1-7 with birthing center staff 1313How to improve rate 1313Research shows certain steps have strongest evidence 13The steps with most evidence will get more attention in my talk and in our program131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum13

Steps with most evidencemPINC results 2009-2015

13

16

79

74

85

19

39

90

89

93

24

57

62

70

90

All Ten Step policies

Community support

Show mothers how to feed

Prenatal education

Early contact and feeding

2015

2013

2009

Source CDC mPINC 200920132015

Presenter
Presentation Notes
This shows mPINC data from 2009 (before Alaska Breastfeeding Initiative kicked off in 2012)13132009 before ABI 132013 data collected during 2012 when ABI started itrsquos work on improving breast feeding outcomes through TEN STEPS132015 data collected during 2014 Akrsquos score (out of 100) remained the same No big leaps as seen from 2009-131313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 13

Alaska Breastfeeding Initiative

Presenter
Presentation Notes
httpspediatricsaappublicationsorgcontent1293e827fullcontent-block- AAP endorses TEN STEPS TO SUCCESSFUL BREASTFEEDING1313Hospital practices in the first hours and days after birth make the difference in whether and how long babies are breastfed Remember that is Step 4-9 13Step 4- help mothers initiate breastfeed asap (skin to skin)13Step 5- show mothers how to latch13Step 6- only breastmilk unless formula medically necessary13Step 7- Rooming in13Step 8- Breastfeeding on demand13Step 9 no pacifiers13 1313The International Code Marketing of Breastmilk Substitutes by offering education and educational material that promote human milk rather than other food and drinks and by refusing to accept or distribute free or subsidized supplies of breastmilk substitutes nipples and other feeding devices 1313of commercial discharge packs which contain samples of breastmilk substitutes adversely affects breastfeeding and there is no justification for giving them Second discontinuing the provision of formula in maternity facilities has been shown to be one of the most cost-effective health interventions known1313Hospital routines can help or hinder new mothers and babies while theyrsquore learning to breastfeed 131313CDCrsquos national survey of Maternity Practices in Infant Nutrition and Care (mPINC) is administered every two years to monitor and examine changes in practices over time at all hospitals and birth centers with registered maternity beds in the United States and Territories1313So our work will be officially evaluated by CDC in 2021 and results available 2022 1313But we are doing internal programmatic evaluations every year with the hospitals we have offered TEN STEP training 13We are offering technical assistance and sharing model TEN STEP POLICIES 13We recently helped Fairbanks write a grant to receive funds to concentrate specifically on the most evidenced steps I mentioned earlier STEP 3- prenatal and Step 10 community support 1313

1

image1png

Work on all strategies at once

Presenter
Presentation Notes
Our program WIC ABC many hospitals and ABI and partners are working on all 9 of CDC Guide to Strategies to Support Breastfeeding Mothers and Babies 1313That last one ldquoaddressing marketing of infant formulardquo is part of the 1313Strategy 9 is referred to you make hear it called the International Code of Marketing of Breast-milk Substitutes which means 13httpswwwcdcgovbreastfeedingpdfBF_guide_7pdf1313httpswwwcdcgovbreastfeedingpdfBF_guide_7pdf1313The International Code recommends 13No advertising of breast-milk substitutes directly to the public 13No free samples to mothers 13No promotion of products in health care facilities 13No commercial product representatives to advise mothers 13No gifts or personal samples to health workers 13No words or pictures idealizing artificial feeding including pictures of infants on the products 1313The International Code also states 13Information to health workers should be scientific and factual 13All information on artificial feeding including the labels should explain the benefits of breastfeeding and the costs and hazards associated with artificial feeding 13Unsuitable products such as condensed milk should not be promoted for babies 13All products should be of a high quality and take into account the climatic and storage conditions of the country where they are used 13131313

2019 Alaska Baby Friendly Hospitals

Over the Last 5 Years (2014-2019)

20 of all births will occur in baby friendly hospitalsbull Representing 55 of Alaska Natives

Source 2019 Alaska HAVRS (Number of births Alaska Native births)

Presenter
Presentation Notes
The baby friendly hospital initiative is a global program sponsored by the WHO and United Nations Childrens Fund (UNICEF) to encourage and recognize hospitals and birth centers that offer an optimal level of care for lactation based on the TEN STEPS to Successful Breastfeeding and the International Code of Marketing of Breast-milk substitutes1313Source Baby Friendly USA Baby Friendly Hospitals and Birth Centers designated as of June 2018 Available at httpwwwbabyfriendlyusaorg13 Baby Friendly USA reviewed policies and reviewed all criteria to get he designating as baby friendly Many hospitals implement the 10 steps without official baby friendly designation

How you can support breastfeeding

bull Prenatal breastfeeding education

bull Maternity centers show mothers how to breastfeed-early and often

bull Support after hospital discharge

Presenter
Presentation Notes
Remember the goal here is to concentrate on the steps that have the most evidence1313Ask for or help develop opportunities for prenatal breastfeeding education1313Maternity centers can show mothers how to breastfeed early and often Skin to skin without 30 minutes to 1 hour (vag) 30 min to 2 hours for c sect1313Support mothers and babies after discharge through peer support program breast feeding programs at early child education centers and support in workplace

Breastfeeding Improves Nutrition and is an Investment In Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to write down any questions you may have about Breast Feeding Initiative or breastfeeding in general while you listen to my friend and colleague Lori talk about how food service guidelines improve nutrition and is an investment in health

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Discuss lifespan of how we work with infants preschool school age and adults 13

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Dawn ldquoNow Irsquom going to let my friend and colleague Loti show you how food service guidelines improves nutrition and is an investment in health ldquo13____________________________________________________________________________________________________________________________________________________________________________13Lori Thank you Dawn for setting the stage 13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Donuts on the counterbull Chocolate or candy from your snack drawerbull Food from the vending machinebull Walk to the cafeteria or store for a healthy option

Itrsquos 3pm you worked through lunch and your belly is growling

Food Service Guidelines

Presenter
Presentation Notes
What we eat and drink impacts our health but we tend to eat whatrsquos readily available 1313Food Service Guidelines represent a voluntary set of best business practices that ensure safe healthy food options are available13The availability of healthy affordable foods contributes to a personrsquos diet and risk of diet-related chronic diseases13Fewer than 1 in 10 adults eat the recommended daily amount of fruits and vegetables1313What we eat and drink impacts our health but we tend to eat whatrsquos readily available 13The average American consuming more than one-third of their calories through foods prepared away from home organizations across Alaska and the country are realizing that the foods and beverages they offer at their work sites provide a significant opportunity to promote and improve employee health13Making healthier food and beverages available in public places lets families employees patients and children 13Eat healthy13Helps prevent weight gain and diseases like type 2 diabetes cancer and heart disease13

Food Service Guidelines

Goalsbull Healthier foods and

beverages bull Support local food

sourcing

Presenter
Presentation Notes
Healthier food and beverages available (cafeterias workplace coffee shops schools etc1313Local Food Sourcing includes farmers markets including at your work site mom and pop stores cars microgreens from Talkeetna that deliver to Anchorage seafood at farmers markets 1313Example Farm to table with our local farmers market in anchorage brought local chickens from homer to anchorage Previously available only sold to grocery stores and now available to direct consumers

Healthy Food Initiative

bull Established partnership with Alaska Native Tribal Health Consortium (ANTHC)bull Campus Healthy Food Project (CHeF)

bull Vending bull Coffee Cartsbull Cafeteriasbull Mini-Stores

Presenter
Presentation Notes
talk about ANTHC includes SCF and ANMC when the term campus is used give examples of food service facilities (vending coffee carts cafeterias mini-stores give counts for the campus talk about why this is a good location worksite lots of visitors of workers potentially impacted and visitor if you know those

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Presenter
Presentation Notes
I am going to walk through different examples of this wheel showing how Food Services Guidelines are developed and implemented For example understanding and knowing your leadership

Engage Stakeholders and Partners

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Community Support

Positive Responses ldquoThey taste greatrdquoldquoI like to feel energizedrdquo ldquoIt makes me feel more productive at workrdquo

bull Employees feel supportedbull Encouraged to take better

care of themselves bull Appreciate having healthy

options

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Food and Beverage Assessment

Examples include bull Fruit and Vegetablesbull Grainsbull Dairybull Beveragesbull Nutritional Labeling

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Update Food and Beverage Policy

bull Traditional Foods introduced into hospitals

bull Soda free Campus

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Review Purchasing and Agreement

Process for purchasing agreements

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Communication Strategies

Healthy Food Choices

Benefitsbull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancers

Source Dietary Guidelines for Americans 2015-2020 Eight Edition (pg 17)

Presenter
Presentation Notes
httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Fruit on the counterbull Nuts from your snack drawerbull Healthy Food from the vending machinebull Drive your car to the closest fast food joint

Itrsquos 3pm you worked through lunch and your belly is growling

Presenter
Presentation Notes
Making the healthy choice the easy choice

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to save any questions you may have while you listen to my friend and colleague Dawn talk about how active transportation improves physical activity and is an investment in health 13

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Active Transportation is a strategy to increase physical activity and works across the lifespan Think of strollering baby to a park walking child to day care school or the rest of us using active transportation to walk bike or bus to any destination we desire

Active Transportation Improves Physical Activity and is

an Investment in Health

Presenter
Presentation Notes
Imagine how much PA you would each tally if everyday you had a activity friendly route (safe route to walk your kids to school use transit carpool bike to meet friends at a restaurant grab groceries or arrive work Of course this would mean you would get more physical activity

Safer and Healthier Streets for EVERYONE

Active Transportation Initiative

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

2018 Physical Activity Guidelines

Adultsbull 150 minutes moderate

intensity per week

School-agebull 60 minutes or more every

day

Preschool bull Active throughout the day

httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf

Presenter
Presentation Notes
The Physical Activity Guidelines for Americans is issues by the US Dept of Health and Human Services The primary audience is policy makers and health professionals though it may also be interesting to members of the public The main ide behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits 1313Key Guidelines1313Adults should move more and sit less throughout the day Some physical activity is better than none 22 minutes or more every day combination of moderate and vigorous intensity with 2 or more days a week of muscle strengthening 1313School-age appropriate to age and enjoyable variety1313Preschool variety of active play throughout the day1313Source httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf1313So we know the guidelines for PA now13

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 19: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Why do Alaska mothers report stop breastfeeding

before their babies are 8 weeks old

bull Return to work or schoolbull No timebull No placebull Too painfulbull Not enough milk

Source 2015 Alaska PRAMS survey (Pregnancy Risk Assessment Monitoring System)

Presenter
Presentation Notes
According to the httpdhssalaskagovdphwcfhDocumentsmchepipramsAlaska_Breastfeeding_Topic_Report_2012-2014pdf

Alaska PRAMS Reports

By 8 weeks post-partum 50 of the mothers who stopped breastfeeding reported doing so because they thought that they did not have enough milk

20

SourcehttpdhssalaskagovdphwcfhDocumentsmchepipramsAlaska_Breastfeeding_Topic_Report_2012-2014pdf

Presenter
Presentation Notes
Mothers reported stopping because they felt they did not have enough milk Remember when I mentioned that the steps with the most evidence The TENS STEPS can educate mothers about how to realize if babies are getting enough milk 131313This information is from the 2015 Alaska PRAMS survey (Pregnancy Risk Assessment Monitoring System)13PRAMS asks Alaskan mothers for information about breastfeeding about 3-4 months after delivery1313PRAM is Randomly samples approximately 16 of all live births in Alaska13Alaskarsquos population is ~ 73230013About 71 are white 17 Alaska Native13Alaska PRAMS eligible population is ~11000yr13About 65 are white 25 Alaska Native13We were the 7th state to join PRAMS (now 40)13Wersquove collected 25 years of data (since 1990)1313Monthly batch sampled from Bureau of Vital Statistics birth records13Teenage mothers are included13PRAMS data are linked to the birth certificate13Higher risk moms are oversampled13Primarily mail w phone follow-up132-6 months after birth13Allows for postpartum questions 132 months (8 weeks) is the maximum age where all respondents are eligible to answer1313131313Mothers need good educationinformation about breastfeeding and baby health and behaviors1313This point many potential factors13motherrsquos lack of knowledge of baby behaviorhelliphelliphelliphellipcrying is not early cue13Latch issues13Checking wet diapers poo13Checking babyrsquos weight1313Any IBCLCs here 1313If mothers and babies donrsquot breastfeeding after 8 weekshelliphelliphelliphelliphellip1313The ten steps address thishelliphelliphelliphelliptalk about how13

Hospitals report

Presenter
Presentation Notes
In October 2003 CDC convened an expert panel of researchers with specific experience in surveillance and monitoring of hospital practices related to breastfeeding At the time no system in the US collected nationally representative data on these practices The Expert Panelrsquos recommendation was to establish an ongoing national system to monitor and evaluate hospital practices related to breastfeeding among all facilities that routinely provide intrapartum care in the US1313In 2007 CDC administered the first national survey of maternity practices related to breastfeeding known as the mPINC survey It is administered every two years to every facility in the US that routinely provides maternity care services and is completed by a key informant on behalf of his or her institution in their capacity as the person most knowledgeable about the relevant practices13

Ten Steps to Successful Breastfeeding Evidence-Based

Presenter
Presentation Notes
Ten Steps to Successful Breastfeeding in both these documents as evidence based strategies to improve breastfeeding outcomes
Presenter
Presentation Notes
13Ten steps ndashoverviewhelliplist all ten1313The ten steps to successful breastfeeding include 131 Hospital breastfeeding policies- that address all TEN STEPS 132 Staff education of breastfeeding best practices and even a designated staff member responsible for lactation support133 Pre an post partum breastfeeding education134 Help mothers breastfeed within the first birth hour135 Who mothers how to breastfeed and how to maintain lactation if separated from baby136 No formula unless medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers1310 And out of hospital community support where does mother find help at 2am if she needs breastfeeding support and assistance13131313ABI is the only effort in Alaska address steps 1-10 with birthing center staff 1313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum13
Presenter
Presentation Notes
5 Who mothers how to breastfeed and how to maintain lactation if separated from baby136 No formula unless medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers1310 And out of hospital community support where does mother find help at 2am if she needs breastfeeding support and assistance1313ABI is the only effort in Alaska address steps 1-10 with birthing center staff 1313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum131313Ten steps ndashoverviewhelliplist all ten1313The ten steps to successful breastfeeding include 131 Hospital breastfeeding policies- that address all TEN STEPS 132 Staff education of breastfeeding best practices133 Pre an post partum breastfeeding education for mothers and families134 Help mothers breastfeed within the first birth hour vag 2 hours csect135 Show mothers how to breastfeed and how to maintain lactation if separated from baby136 formula only if medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day- infant procedures to occur in same room as mother138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers for 1st 48 hours1310 And out of hospital community support where does mother go at 2am if she needs breastfeeding support and assistance1313ABI is the only effort in Alaska address steps 1-7 with birthing center staff 1313How to improve rate 1313Research shows certain steps have strongest evidence 13The steps with most evidence will get more attention in my talk and in our program131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum13

Steps with most evidencemPINC results 2009-2015

13

16

79

74

85

19

39

90

89

93

24

57

62

70

90

All Ten Step policies

Community support

Show mothers how to feed

Prenatal education

Early contact and feeding

2015

2013

2009

Source CDC mPINC 200920132015

Presenter
Presentation Notes
This shows mPINC data from 2009 (before Alaska Breastfeeding Initiative kicked off in 2012)13132009 before ABI 132013 data collected during 2012 when ABI started itrsquos work on improving breast feeding outcomes through TEN STEPS132015 data collected during 2014 Akrsquos score (out of 100) remained the same No big leaps as seen from 2009-131313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 13

Alaska Breastfeeding Initiative

Presenter
Presentation Notes
httpspediatricsaappublicationsorgcontent1293e827fullcontent-block- AAP endorses TEN STEPS TO SUCCESSFUL BREASTFEEDING1313Hospital practices in the first hours and days after birth make the difference in whether and how long babies are breastfed Remember that is Step 4-9 13Step 4- help mothers initiate breastfeed asap (skin to skin)13Step 5- show mothers how to latch13Step 6- only breastmilk unless formula medically necessary13Step 7- Rooming in13Step 8- Breastfeeding on demand13Step 9 no pacifiers13 1313The International Code Marketing of Breastmilk Substitutes by offering education and educational material that promote human milk rather than other food and drinks and by refusing to accept or distribute free or subsidized supplies of breastmilk substitutes nipples and other feeding devices 1313of commercial discharge packs which contain samples of breastmilk substitutes adversely affects breastfeeding and there is no justification for giving them Second discontinuing the provision of formula in maternity facilities has been shown to be one of the most cost-effective health interventions known1313Hospital routines can help or hinder new mothers and babies while theyrsquore learning to breastfeed 131313CDCrsquos national survey of Maternity Practices in Infant Nutrition and Care (mPINC) is administered every two years to monitor and examine changes in practices over time at all hospitals and birth centers with registered maternity beds in the United States and Territories1313So our work will be officially evaluated by CDC in 2021 and results available 2022 1313But we are doing internal programmatic evaluations every year with the hospitals we have offered TEN STEP training 13We are offering technical assistance and sharing model TEN STEP POLICIES 13We recently helped Fairbanks write a grant to receive funds to concentrate specifically on the most evidenced steps I mentioned earlier STEP 3- prenatal and Step 10 community support 1313

1

image1png

Work on all strategies at once

Presenter
Presentation Notes
Our program WIC ABC many hospitals and ABI and partners are working on all 9 of CDC Guide to Strategies to Support Breastfeeding Mothers and Babies 1313That last one ldquoaddressing marketing of infant formulardquo is part of the 1313Strategy 9 is referred to you make hear it called the International Code of Marketing of Breast-milk Substitutes which means 13httpswwwcdcgovbreastfeedingpdfBF_guide_7pdf1313httpswwwcdcgovbreastfeedingpdfBF_guide_7pdf1313The International Code recommends 13No advertising of breast-milk substitutes directly to the public 13No free samples to mothers 13No promotion of products in health care facilities 13No commercial product representatives to advise mothers 13No gifts or personal samples to health workers 13No words or pictures idealizing artificial feeding including pictures of infants on the products 1313The International Code also states 13Information to health workers should be scientific and factual 13All information on artificial feeding including the labels should explain the benefits of breastfeeding and the costs and hazards associated with artificial feeding 13Unsuitable products such as condensed milk should not be promoted for babies 13All products should be of a high quality and take into account the climatic and storage conditions of the country where they are used 13131313

2019 Alaska Baby Friendly Hospitals

Over the Last 5 Years (2014-2019)

20 of all births will occur in baby friendly hospitalsbull Representing 55 of Alaska Natives

Source 2019 Alaska HAVRS (Number of births Alaska Native births)

Presenter
Presentation Notes
The baby friendly hospital initiative is a global program sponsored by the WHO and United Nations Childrens Fund (UNICEF) to encourage and recognize hospitals and birth centers that offer an optimal level of care for lactation based on the TEN STEPS to Successful Breastfeeding and the International Code of Marketing of Breast-milk substitutes1313Source Baby Friendly USA Baby Friendly Hospitals and Birth Centers designated as of June 2018 Available at httpwwwbabyfriendlyusaorg13 Baby Friendly USA reviewed policies and reviewed all criteria to get he designating as baby friendly Many hospitals implement the 10 steps without official baby friendly designation

How you can support breastfeeding

bull Prenatal breastfeeding education

bull Maternity centers show mothers how to breastfeed-early and often

bull Support after hospital discharge

Presenter
Presentation Notes
Remember the goal here is to concentrate on the steps that have the most evidence1313Ask for or help develop opportunities for prenatal breastfeeding education1313Maternity centers can show mothers how to breastfeed early and often Skin to skin without 30 minutes to 1 hour (vag) 30 min to 2 hours for c sect1313Support mothers and babies after discharge through peer support program breast feeding programs at early child education centers and support in workplace

Breastfeeding Improves Nutrition and is an Investment In Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to write down any questions you may have about Breast Feeding Initiative or breastfeeding in general while you listen to my friend and colleague Lori talk about how food service guidelines improve nutrition and is an investment in health

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Discuss lifespan of how we work with infants preschool school age and adults 13

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Dawn ldquoNow Irsquom going to let my friend and colleague Loti show you how food service guidelines improves nutrition and is an investment in health ldquo13____________________________________________________________________________________________________________________________________________________________________________13Lori Thank you Dawn for setting the stage 13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Donuts on the counterbull Chocolate or candy from your snack drawerbull Food from the vending machinebull Walk to the cafeteria or store for a healthy option

Itrsquos 3pm you worked through lunch and your belly is growling

Food Service Guidelines

Presenter
Presentation Notes
What we eat and drink impacts our health but we tend to eat whatrsquos readily available 1313Food Service Guidelines represent a voluntary set of best business practices that ensure safe healthy food options are available13The availability of healthy affordable foods contributes to a personrsquos diet and risk of diet-related chronic diseases13Fewer than 1 in 10 adults eat the recommended daily amount of fruits and vegetables1313What we eat and drink impacts our health but we tend to eat whatrsquos readily available 13The average American consuming more than one-third of their calories through foods prepared away from home organizations across Alaska and the country are realizing that the foods and beverages they offer at their work sites provide a significant opportunity to promote and improve employee health13Making healthier food and beverages available in public places lets families employees patients and children 13Eat healthy13Helps prevent weight gain and diseases like type 2 diabetes cancer and heart disease13

Food Service Guidelines

Goalsbull Healthier foods and

beverages bull Support local food

sourcing

Presenter
Presentation Notes
Healthier food and beverages available (cafeterias workplace coffee shops schools etc1313Local Food Sourcing includes farmers markets including at your work site mom and pop stores cars microgreens from Talkeetna that deliver to Anchorage seafood at farmers markets 1313Example Farm to table with our local farmers market in anchorage brought local chickens from homer to anchorage Previously available only sold to grocery stores and now available to direct consumers

Healthy Food Initiative

bull Established partnership with Alaska Native Tribal Health Consortium (ANTHC)bull Campus Healthy Food Project (CHeF)

bull Vending bull Coffee Cartsbull Cafeteriasbull Mini-Stores

Presenter
Presentation Notes
talk about ANTHC includes SCF and ANMC when the term campus is used give examples of food service facilities (vending coffee carts cafeterias mini-stores give counts for the campus talk about why this is a good location worksite lots of visitors of workers potentially impacted and visitor if you know those

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Presenter
Presentation Notes
I am going to walk through different examples of this wheel showing how Food Services Guidelines are developed and implemented For example understanding and knowing your leadership

Engage Stakeholders and Partners

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Community Support

Positive Responses ldquoThey taste greatrdquoldquoI like to feel energizedrdquo ldquoIt makes me feel more productive at workrdquo

bull Employees feel supportedbull Encouraged to take better

care of themselves bull Appreciate having healthy

options

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Food and Beverage Assessment

Examples include bull Fruit and Vegetablesbull Grainsbull Dairybull Beveragesbull Nutritional Labeling

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Update Food and Beverage Policy

bull Traditional Foods introduced into hospitals

bull Soda free Campus

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Review Purchasing and Agreement

Process for purchasing agreements

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Communication Strategies

Healthy Food Choices

Benefitsbull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancers

Source Dietary Guidelines for Americans 2015-2020 Eight Edition (pg 17)

Presenter
Presentation Notes
httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Fruit on the counterbull Nuts from your snack drawerbull Healthy Food from the vending machinebull Drive your car to the closest fast food joint

Itrsquos 3pm you worked through lunch and your belly is growling

Presenter
Presentation Notes
Making the healthy choice the easy choice

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to save any questions you may have while you listen to my friend and colleague Dawn talk about how active transportation improves physical activity and is an investment in health 13

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Active Transportation is a strategy to increase physical activity and works across the lifespan Think of strollering baby to a park walking child to day care school or the rest of us using active transportation to walk bike or bus to any destination we desire

Active Transportation Improves Physical Activity and is

an Investment in Health

Presenter
Presentation Notes
Imagine how much PA you would each tally if everyday you had a activity friendly route (safe route to walk your kids to school use transit carpool bike to meet friends at a restaurant grab groceries or arrive work Of course this would mean you would get more physical activity

Safer and Healthier Streets for EVERYONE

Active Transportation Initiative

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

2018 Physical Activity Guidelines

Adultsbull 150 minutes moderate

intensity per week

School-agebull 60 minutes or more every

day

Preschool bull Active throughout the day

httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf

Presenter
Presentation Notes
The Physical Activity Guidelines for Americans is issues by the US Dept of Health and Human Services The primary audience is policy makers and health professionals though it may also be interesting to members of the public The main ide behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits 1313Key Guidelines1313Adults should move more and sit less throughout the day Some physical activity is better than none 22 minutes or more every day combination of moderate and vigorous intensity with 2 or more days a week of muscle strengthening 1313School-age appropriate to age and enjoyable variety1313Preschool variety of active play throughout the day1313Source httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf1313So we know the guidelines for PA now13

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 20: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Alaska PRAMS Reports

By 8 weeks post-partum 50 of the mothers who stopped breastfeeding reported doing so because they thought that they did not have enough milk

20

SourcehttpdhssalaskagovdphwcfhDocumentsmchepipramsAlaska_Breastfeeding_Topic_Report_2012-2014pdf

Presenter
Presentation Notes
Mothers reported stopping because they felt they did not have enough milk Remember when I mentioned that the steps with the most evidence The TENS STEPS can educate mothers about how to realize if babies are getting enough milk 131313This information is from the 2015 Alaska PRAMS survey (Pregnancy Risk Assessment Monitoring System)13PRAMS asks Alaskan mothers for information about breastfeeding about 3-4 months after delivery1313PRAM is Randomly samples approximately 16 of all live births in Alaska13Alaskarsquos population is ~ 73230013About 71 are white 17 Alaska Native13Alaska PRAMS eligible population is ~11000yr13About 65 are white 25 Alaska Native13We were the 7th state to join PRAMS (now 40)13Wersquove collected 25 years of data (since 1990)1313Monthly batch sampled from Bureau of Vital Statistics birth records13Teenage mothers are included13PRAMS data are linked to the birth certificate13Higher risk moms are oversampled13Primarily mail w phone follow-up132-6 months after birth13Allows for postpartum questions 132 months (8 weeks) is the maximum age where all respondents are eligible to answer1313131313Mothers need good educationinformation about breastfeeding and baby health and behaviors1313This point many potential factors13motherrsquos lack of knowledge of baby behaviorhelliphelliphelliphellipcrying is not early cue13Latch issues13Checking wet diapers poo13Checking babyrsquos weight1313Any IBCLCs here 1313If mothers and babies donrsquot breastfeeding after 8 weekshelliphelliphelliphelliphellip1313The ten steps address thishelliphelliphelliphelliptalk about how13

Hospitals report

Presenter
Presentation Notes
In October 2003 CDC convened an expert panel of researchers with specific experience in surveillance and monitoring of hospital practices related to breastfeeding At the time no system in the US collected nationally representative data on these practices The Expert Panelrsquos recommendation was to establish an ongoing national system to monitor and evaluate hospital practices related to breastfeeding among all facilities that routinely provide intrapartum care in the US1313In 2007 CDC administered the first national survey of maternity practices related to breastfeeding known as the mPINC survey It is administered every two years to every facility in the US that routinely provides maternity care services and is completed by a key informant on behalf of his or her institution in their capacity as the person most knowledgeable about the relevant practices13

Ten Steps to Successful Breastfeeding Evidence-Based

Presenter
Presentation Notes
Ten Steps to Successful Breastfeeding in both these documents as evidence based strategies to improve breastfeeding outcomes
Presenter
Presentation Notes
13Ten steps ndashoverviewhelliplist all ten1313The ten steps to successful breastfeeding include 131 Hospital breastfeeding policies- that address all TEN STEPS 132 Staff education of breastfeeding best practices and even a designated staff member responsible for lactation support133 Pre an post partum breastfeeding education134 Help mothers breastfeed within the first birth hour135 Who mothers how to breastfeed and how to maintain lactation if separated from baby136 No formula unless medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers1310 And out of hospital community support where does mother find help at 2am if she needs breastfeeding support and assistance13131313ABI is the only effort in Alaska address steps 1-10 with birthing center staff 1313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum13
Presenter
Presentation Notes
5 Who mothers how to breastfeed and how to maintain lactation if separated from baby136 No formula unless medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers1310 And out of hospital community support where does mother find help at 2am if she needs breastfeeding support and assistance1313ABI is the only effort in Alaska address steps 1-10 with birthing center staff 1313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum131313Ten steps ndashoverviewhelliplist all ten1313The ten steps to successful breastfeeding include 131 Hospital breastfeeding policies- that address all TEN STEPS 132 Staff education of breastfeeding best practices133 Pre an post partum breastfeeding education for mothers and families134 Help mothers breastfeed within the first birth hour vag 2 hours csect135 Show mothers how to breastfeed and how to maintain lactation if separated from baby136 formula only if medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day- infant procedures to occur in same room as mother138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers for 1st 48 hours1310 And out of hospital community support where does mother go at 2am if she needs breastfeeding support and assistance1313ABI is the only effort in Alaska address steps 1-7 with birthing center staff 1313How to improve rate 1313Research shows certain steps have strongest evidence 13The steps with most evidence will get more attention in my talk and in our program131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum13

Steps with most evidencemPINC results 2009-2015

13

16

79

74

85

19

39

90

89

93

24

57

62

70

90

All Ten Step policies

Community support

Show mothers how to feed

Prenatal education

Early contact and feeding

2015

2013

2009

Source CDC mPINC 200920132015

Presenter
Presentation Notes
This shows mPINC data from 2009 (before Alaska Breastfeeding Initiative kicked off in 2012)13132009 before ABI 132013 data collected during 2012 when ABI started itrsquos work on improving breast feeding outcomes through TEN STEPS132015 data collected during 2014 Akrsquos score (out of 100) remained the same No big leaps as seen from 2009-131313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 13

Alaska Breastfeeding Initiative

Presenter
Presentation Notes
httpspediatricsaappublicationsorgcontent1293e827fullcontent-block- AAP endorses TEN STEPS TO SUCCESSFUL BREASTFEEDING1313Hospital practices in the first hours and days after birth make the difference in whether and how long babies are breastfed Remember that is Step 4-9 13Step 4- help mothers initiate breastfeed asap (skin to skin)13Step 5- show mothers how to latch13Step 6- only breastmilk unless formula medically necessary13Step 7- Rooming in13Step 8- Breastfeeding on demand13Step 9 no pacifiers13 1313The International Code Marketing of Breastmilk Substitutes by offering education and educational material that promote human milk rather than other food and drinks and by refusing to accept or distribute free or subsidized supplies of breastmilk substitutes nipples and other feeding devices 1313of commercial discharge packs which contain samples of breastmilk substitutes adversely affects breastfeeding and there is no justification for giving them Second discontinuing the provision of formula in maternity facilities has been shown to be one of the most cost-effective health interventions known1313Hospital routines can help or hinder new mothers and babies while theyrsquore learning to breastfeed 131313CDCrsquos national survey of Maternity Practices in Infant Nutrition and Care (mPINC) is administered every two years to monitor and examine changes in practices over time at all hospitals and birth centers with registered maternity beds in the United States and Territories1313So our work will be officially evaluated by CDC in 2021 and results available 2022 1313But we are doing internal programmatic evaluations every year with the hospitals we have offered TEN STEP training 13We are offering technical assistance and sharing model TEN STEP POLICIES 13We recently helped Fairbanks write a grant to receive funds to concentrate specifically on the most evidenced steps I mentioned earlier STEP 3- prenatal and Step 10 community support 1313

1

image1png

Work on all strategies at once

Presenter
Presentation Notes
Our program WIC ABC many hospitals and ABI and partners are working on all 9 of CDC Guide to Strategies to Support Breastfeeding Mothers and Babies 1313That last one ldquoaddressing marketing of infant formulardquo is part of the 1313Strategy 9 is referred to you make hear it called the International Code of Marketing of Breast-milk Substitutes which means 13httpswwwcdcgovbreastfeedingpdfBF_guide_7pdf1313httpswwwcdcgovbreastfeedingpdfBF_guide_7pdf1313The International Code recommends 13No advertising of breast-milk substitutes directly to the public 13No free samples to mothers 13No promotion of products in health care facilities 13No commercial product representatives to advise mothers 13No gifts or personal samples to health workers 13No words or pictures idealizing artificial feeding including pictures of infants on the products 1313The International Code also states 13Information to health workers should be scientific and factual 13All information on artificial feeding including the labels should explain the benefits of breastfeeding and the costs and hazards associated with artificial feeding 13Unsuitable products such as condensed milk should not be promoted for babies 13All products should be of a high quality and take into account the climatic and storage conditions of the country where they are used 13131313

2019 Alaska Baby Friendly Hospitals

Over the Last 5 Years (2014-2019)

20 of all births will occur in baby friendly hospitalsbull Representing 55 of Alaska Natives

Source 2019 Alaska HAVRS (Number of births Alaska Native births)

Presenter
Presentation Notes
The baby friendly hospital initiative is a global program sponsored by the WHO and United Nations Childrens Fund (UNICEF) to encourage and recognize hospitals and birth centers that offer an optimal level of care for lactation based on the TEN STEPS to Successful Breastfeeding and the International Code of Marketing of Breast-milk substitutes1313Source Baby Friendly USA Baby Friendly Hospitals and Birth Centers designated as of June 2018 Available at httpwwwbabyfriendlyusaorg13 Baby Friendly USA reviewed policies and reviewed all criteria to get he designating as baby friendly Many hospitals implement the 10 steps without official baby friendly designation

How you can support breastfeeding

bull Prenatal breastfeeding education

bull Maternity centers show mothers how to breastfeed-early and often

bull Support after hospital discharge

Presenter
Presentation Notes
Remember the goal here is to concentrate on the steps that have the most evidence1313Ask for or help develop opportunities for prenatal breastfeeding education1313Maternity centers can show mothers how to breastfeed early and often Skin to skin without 30 minutes to 1 hour (vag) 30 min to 2 hours for c sect1313Support mothers and babies after discharge through peer support program breast feeding programs at early child education centers and support in workplace

Breastfeeding Improves Nutrition and is an Investment In Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to write down any questions you may have about Breast Feeding Initiative or breastfeeding in general while you listen to my friend and colleague Lori talk about how food service guidelines improve nutrition and is an investment in health

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Discuss lifespan of how we work with infants preschool school age and adults 13

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Dawn ldquoNow Irsquom going to let my friend and colleague Loti show you how food service guidelines improves nutrition and is an investment in health ldquo13____________________________________________________________________________________________________________________________________________________________________________13Lori Thank you Dawn for setting the stage 13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Donuts on the counterbull Chocolate or candy from your snack drawerbull Food from the vending machinebull Walk to the cafeteria or store for a healthy option

Itrsquos 3pm you worked through lunch and your belly is growling

Food Service Guidelines

Presenter
Presentation Notes
What we eat and drink impacts our health but we tend to eat whatrsquos readily available 1313Food Service Guidelines represent a voluntary set of best business practices that ensure safe healthy food options are available13The availability of healthy affordable foods contributes to a personrsquos diet and risk of diet-related chronic diseases13Fewer than 1 in 10 adults eat the recommended daily amount of fruits and vegetables1313What we eat and drink impacts our health but we tend to eat whatrsquos readily available 13The average American consuming more than one-third of their calories through foods prepared away from home organizations across Alaska and the country are realizing that the foods and beverages they offer at their work sites provide a significant opportunity to promote and improve employee health13Making healthier food and beverages available in public places lets families employees patients and children 13Eat healthy13Helps prevent weight gain and diseases like type 2 diabetes cancer and heart disease13

Food Service Guidelines

Goalsbull Healthier foods and

beverages bull Support local food

sourcing

Presenter
Presentation Notes
Healthier food and beverages available (cafeterias workplace coffee shops schools etc1313Local Food Sourcing includes farmers markets including at your work site mom and pop stores cars microgreens from Talkeetna that deliver to Anchorage seafood at farmers markets 1313Example Farm to table with our local farmers market in anchorage brought local chickens from homer to anchorage Previously available only sold to grocery stores and now available to direct consumers

Healthy Food Initiative

bull Established partnership with Alaska Native Tribal Health Consortium (ANTHC)bull Campus Healthy Food Project (CHeF)

bull Vending bull Coffee Cartsbull Cafeteriasbull Mini-Stores

Presenter
Presentation Notes
talk about ANTHC includes SCF and ANMC when the term campus is used give examples of food service facilities (vending coffee carts cafeterias mini-stores give counts for the campus talk about why this is a good location worksite lots of visitors of workers potentially impacted and visitor if you know those

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Presenter
Presentation Notes
I am going to walk through different examples of this wheel showing how Food Services Guidelines are developed and implemented For example understanding and knowing your leadership

Engage Stakeholders and Partners

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Community Support

Positive Responses ldquoThey taste greatrdquoldquoI like to feel energizedrdquo ldquoIt makes me feel more productive at workrdquo

bull Employees feel supportedbull Encouraged to take better

care of themselves bull Appreciate having healthy

options

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Food and Beverage Assessment

Examples include bull Fruit and Vegetablesbull Grainsbull Dairybull Beveragesbull Nutritional Labeling

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Update Food and Beverage Policy

bull Traditional Foods introduced into hospitals

bull Soda free Campus

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Review Purchasing and Agreement

Process for purchasing agreements

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Communication Strategies

Healthy Food Choices

Benefitsbull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancers

Source Dietary Guidelines for Americans 2015-2020 Eight Edition (pg 17)

Presenter
Presentation Notes
httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Fruit on the counterbull Nuts from your snack drawerbull Healthy Food from the vending machinebull Drive your car to the closest fast food joint

Itrsquos 3pm you worked through lunch and your belly is growling

Presenter
Presentation Notes
Making the healthy choice the easy choice

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to save any questions you may have while you listen to my friend and colleague Dawn talk about how active transportation improves physical activity and is an investment in health 13

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Active Transportation is a strategy to increase physical activity and works across the lifespan Think of strollering baby to a park walking child to day care school or the rest of us using active transportation to walk bike or bus to any destination we desire

Active Transportation Improves Physical Activity and is

an Investment in Health

Presenter
Presentation Notes
Imagine how much PA you would each tally if everyday you had a activity friendly route (safe route to walk your kids to school use transit carpool bike to meet friends at a restaurant grab groceries or arrive work Of course this would mean you would get more physical activity

Safer and Healthier Streets for EVERYONE

Active Transportation Initiative

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

2018 Physical Activity Guidelines

Adultsbull 150 minutes moderate

intensity per week

School-agebull 60 minutes or more every

day

Preschool bull Active throughout the day

httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf

Presenter
Presentation Notes
The Physical Activity Guidelines for Americans is issues by the US Dept of Health and Human Services The primary audience is policy makers and health professionals though it may also be interesting to members of the public The main ide behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits 1313Key Guidelines1313Adults should move more and sit less throughout the day Some physical activity is better than none 22 minutes or more every day combination of moderate and vigorous intensity with 2 or more days a week of muscle strengthening 1313School-age appropriate to age and enjoyable variety1313Preschool variety of active play throughout the day1313Source httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf1313So we know the guidelines for PA now13

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 21: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Hospitals report

Presenter
Presentation Notes
In October 2003 CDC convened an expert panel of researchers with specific experience in surveillance and monitoring of hospital practices related to breastfeeding At the time no system in the US collected nationally representative data on these practices The Expert Panelrsquos recommendation was to establish an ongoing national system to monitor and evaluate hospital practices related to breastfeeding among all facilities that routinely provide intrapartum care in the US1313In 2007 CDC administered the first national survey of maternity practices related to breastfeeding known as the mPINC survey It is administered every two years to every facility in the US that routinely provides maternity care services and is completed by a key informant on behalf of his or her institution in their capacity as the person most knowledgeable about the relevant practices13

Ten Steps to Successful Breastfeeding Evidence-Based

Presenter
Presentation Notes
Ten Steps to Successful Breastfeeding in both these documents as evidence based strategies to improve breastfeeding outcomes
Presenter
Presentation Notes
13Ten steps ndashoverviewhelliplist all ten1313The ten steps to successful breastfeeding include 131 Hospital breastfeeding policies- that address all TEN STEPS 132 Staff education of breastfeeding best practices and even a designated staff member responsible for lactation support133 Pre an post partum breastfeeding education134 Help mothers breastfeed within the first birth hour135 Who mothers how to breastfeed and how to maintain lactation if separated from baby136 No formula unless medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers1310 And out of hospital community support where does mother find help at 2am if she needs breastfeeding support and assistance13131313ABI is the only effort in Alaska address steps 1-10 with birthing center staff 1313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum13
Presenter
Presentation Notes
5 Who mothers how to breastfeed and how to maintain lactation if separated from baby136 No formula unless medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers1310 And out of hospital community support where does mother find help at 2am if she needs breastfeeding support and assistance1313ABI is the only effort in Alaska address steps 1-10 with birthing center staff 1313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum131313Ten steps ndashoverviewhelliplist all ten1313The ten steps to successful breastfeeding include 131 Hospital breastfeeding policies- that address all TEN STEPS 132 Staff education of breastfeeding best practices133 Pre an post partum breastfeeding education for mothers and families134 Help mothers breastfeed within the first birth hour vag 2 hours csect135 Show mothers how to breastfeed and how to maintain lactation if separated from baby136 formula only if medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day- infant procedures to occur in same room as mother138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers for 1st 48 hours1310 And out of hospital community support where does mother go at 2am if she needs breastfeeding support and assistance1313ABI is the only effort in Alaska address steps 1-7 with birthing center staff 1313How to improve rate 1313Research shows certain steps have strongest evidence 13The steps with most evidence will get more attention in my talk and in our program131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum13

Steps with most evidencemPINC results 2009-2015

13

16

79

74

85

19

39

90

89

93

24

57

62

70

90

All Ten Step policies

Community support

Show mothers how to feed

Prenatal education

Early contact and feeding

2015

2013

2009

Source CDC mPINC 200920132015

Presenter
Presentation Notes
This shows mPINC data from 2009 (before Alaska Breastfeeding Initiative kicked off in 2012)13132009 before ABI 132013 data collected during 2012 when ABI started itrsquos work on improving breast feeding outcomes through TEN STEPS132015 data collected during 2014 Akrsquos score (out of 100) remained the same No big leaps as seen from 2009-131313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 13

Alaska Breastfeeding Initiative

Presenter
Presentation Notes
httpspediatricsaappublicationsorgcontent1293e827fullcontent-block- AAP endorses TEN STEPS TO SUCCESSFUL BREASTFEEDING1313Hospital practices in the first hours and days after birth make the difference in whether and how long babies are breastfed Remember that is Step 4-9 13Step 4- help mothers initiate breastfeed asap (skin to skin)13Step 5- show mothers how to latch13Step 6- only breastmilk unless formula medically necessary13Step 7- Rooming in13Step 8- Breastfeeding on demand13Step 9 no pacifiers13 1313The International Code Marketing of Breastmilk Substitutes by offering education and educational material that promote human milk rather than other food and drinks and by refusing to accept or distribute free or subsidized supplies of breastmilk substitutes nipples and other feeding devices 1313of commercial discharge packs which contain samples of breastmilk substitutes adversely affects breastfeeding and there is no justification for giving them Second discontinuing the provision of formula in maternity facilities has been shown to be one of the most cost-effective health interventions known1313Hospital routines can help or hinder new mothers and babies while theyrsquore learning to breastfeed 131313CDCrsquos national survey of Maternity Practices in Infant Nutrition and Care (mPINC) is administered every two years to monitor and examine changes in practices over time at all hospitals and birth centers with registered maternity beds in the United States and Territories1313So our work will be officially evaluated by CDC in 2021 and results available 2022 1313But we are doing internal programmatic evaluations every year with the hospitals we have offered TEN STEP training 13We are offering technical assistance and sharing model TEN STEP POLICIES 13We recently helped Fairbanks write a grant to receive funds to concentrate specifically on the most evidenced steps I mentioned earlier STEP 3- prenatal and Step 10 community support 1313

1

image1png

Work on all strategies at once

Presenter
Presentation Notes
Our program WIC ABC many hospitals and ABI and partners are working on all 9 of CDC Guide to Strategies to Support Breastfeeding Mothers and Babies 1313That last one ldquoaddressing marketing of infant formulardquo is part of the 1313Strategy 9 is referred to you make hear it called the International Code of Marketing of Breast-milk Substitutes which means 13httpswwwcdcgovbreastfeedingpdfBF_guide_7pdf1313httpswwwcdcgovbreastfeedingpdfBF_guide_7pdf1313The International Code recommends 13No advertising of breast-milk substitutes directly to the public 13No free samples to mothers 13No promotion of products in health care facilities 13No commercial product representatives to advise mothers 13No gifts or personal samples to health workers 13No words or pictures idealizing artificial feeding including pictures of infants on the products 1313The International Code also states 13Information to health workers should be scientific and factual 13All information on artificial feeding including the labels should explain the benefits of breastfeeding and the costs and hazards associated with artificial feeding 13Unsuitable products such as condensed milk should not be promoted for babies 13All products should be of a high quality and take into account the climatic and storage conditions of the country where they are used 13131313

2019 Alaska Baby Friendly Hospitals

Over the Last 5 Years (2014-2019)

20 of all births will occur in baby friendly hospitalsbull Representing 55 of Alaska Natives

Source 2019 Alaska HAVRS (Number of births Alaska Native births)

Presenter
Presentation Notes
The baby friendly hospital initiative is a global program sponsored by the WHO and United Nations Childrens Fund (UNICEF) to encourage and recognize hospitals and birth centers that offer an optimal level of care for lactation based on the TEN STEPS to Successful Breastfeeding and the International Code of Marketing of Breast-milk substitutes1313Source Baby Friendly USA Baby Friendly Hospitals and Birth Centers designated as of June 2018 Available at httpwwwbabyfriendlyusaorg13 Baby Friendly USA reviewed policies and reviewed all criteria to get he designating as baby friendly Many hospitals implement the 10 steps without official baby friendly designation

How you can support breastfeeding

bull Prenatal breastfeeding education

bull Maternity centers show mothers how to breastfeed-early and often

bull Support after hospital discharge

Presenter
Presentation Notes
Remember the goal here is to concentrate on the steps that have the most evidence1313Ask for or help develop opportunities for prenatal breastfeeding education1313Maternity centers can show mothers how to breastfeed early and often Skin to skin without 30 minutes to 1 hour (vag) 30 min to 2 hours for c sect1313Support mothers and babies after discharge through peer support program breast feeding programs at early child education centers and support in workplace

Breastfeeding Improves Nutrition and is an Investment In Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to write down any questions you may have about Breast Feeding Initiative or breastfeeding in general while you listen to my friend and colleague Lori talk about how food service guidelines improve nutrition and is an investment in health

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Discuss lifespan of how we work with infants preschool school age and adults 13

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Dawn ldquoNow Irsquom going to let my friend and colleague Loti show you how food service guidelines improves nutrition and is an investment in health ldquo13____________________________________________________________________________________________________________________________________________________________________________13Lori Thank you Dawn for setting the stage 13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Donuts on the counterbull Chocolate or candy from your snack drawerbull Food from the vending machinebull Walk to the cafeteria or store for a healthy option

Itrsquos 3pm you worked through lunch and your belly is growling

Food Service Guidelines

Presenter
Presentation Notes
What we eat and drink impacts our health but we tend to eat whatrsquos readily available 1313Food Service Guidelines represent a voluntary set of best business practices that ensure safe healthy food options are available13The availability of healthy affordable foods contributes to a personrsquos diet and risk of diet-related chronic diseases13Fewer than 1 in 10 adults eat the recommended daily amount of fruits and vegetables1313What we eat and drink impacts our health but we tend to eat whatrsquos readily available 13The average American consuming more than one-third of their calories through foods prepared away from home organizations across Alaska and the country are realizing that the foods and beverages they offer at their work sites provide a significant opportunity to promote and improve employee health13Making healthier food and beverages available in public places lets families employees patients and children 13Eat healthy13Helps prevent weight gain and diseases like type 2 diabetes cancer and heart disease13

Food Service Guidelines

Goalsbull Healthier foods and

beverages bull Support local food

sourcing

Presenter
Presentation Notes
Healthier food and beverages available (cafeterias workplace coffee shops schools etc1313Local Food Sourcing includes farmers markets including at your work site mom and pop stores cars microgreens from Talkeetna that deliver to Anchorage seafood at farmers markets 1313Example Farm to table with our local farmers market in anchorage brought local chickens from homer to anchorage Previously available only sold to grocery stores and now available to direct consumers

Healthy Food Initiative

bull Established partnership with Alaska Native Tribal Health Consortium (ANTHC)bull Campus Healthy Food Project (CHeF)

bull Vending bull Coffee Cartsbull Cafeteriasbull Mini-Stores

Presenter
Presentation Notes
talk about ANTHC includes SCF and ANMC when the term campus is used give examples of food service facilities (vending coffee carts cafeterias mini-stores give counts for the campus talk about why this is a good location worksite lots of visitors of workers potentially impacted and visitor if you know those

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Presenter
Presentation Notes
I am going to walk through different examples of this wheel showing how Food Services Guidelines are developed and implemented For example understanding and knowing your leadership

Engage Stakeholders and Partners

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Community Support

Positive Responses ldquoThey taste greatrdquoldquoI like to feel energizedrdquo ldquoIt makes me feel more productive at workrdquo

bull Employees feel supportedbull Encouraged to take better

care of themselves bull Appreciate having healthy

options

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Food and Beverage Assessment

Examples include bull Fruit and Vegetablesbull Grainsbull Dairybull Beveragesbull Nutritional Labeling

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Update Food and Beverage Policy

bull Traditional Foods introduced into hospitals

bull Soda free Campus

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Review Purchasing and Agreement

Process for purchasing agreements

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Communication Strategies

Healthy Food Choices

Benefitsbull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancers

Source Dietary Guidelines for Americans 2015-2020 Eight Edition (pg 17)

Presenter
Presentation Notes
httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Fruit on the counterbull Nuts from your snack drawerbull Healthy Food from the vending machinebull Drive your car to the closest fast food joint

Itrsquos 3pm you worked through lunch and your belly is growling

Presenter
Presentation Notes
Making the healthy choice the easy choice

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to save any questions you may have while you listen to my friend and colleague Dawn talk about how active transportation improves physical activity and is an investment in health 13

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Active Transportation is a strategy to increase physical activity and works across the lifespan Think of strollering baby to a park walking child to day care school or the rest of us using active transportation to walk bike or bus to any destination we desire

Active Transportation Improves Physical Activity and is

an Investment in Health

Presenter
Presentation Notes
Imagine how much PA you would each tally if everyday you had a activity friendly route (safe route to walk your kids to school use transit carpool bike to meet friends at a restaurant grab groceries or arrive work Of course this would mean you would get more physical activity

Safer and Healthier Streets for EVERYONE

Active Transportation Initiative

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

2018 Physical Activity Guidelines

Adultsbull 150 minutes moderate

intensity per week

School-agebull 60 minutes or more every

day

Preschool bull Active throughout the day

httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf

Presenter
Presentation Notes
The Physical Activity Guidelines for Americans is issues by the US Dept of Health and Human Services The primary audience is policy makers and health professionals though it may also be interesting to members of the public The main ide behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits 1313Key Guidelines1313Adults should move more and sit less throughout the day Some physical activity is better than none 22 minutes or more every day combination of moderate and vigorous intensity with 2 or more days a week of muscle strengthening 1313School-age appropriate to age and enjoyable variety1313Preschool variety of active play throughout the day1313Source httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf1313So we know the guidelines for PA now13

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 22: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Ten Steps to Successful Breastfeeding Evidence-Based

Presenter
Presentation Notes
Ten Steps to Successful Breastfeeding in both these documents as evidence based strategies to improve breastfeeding outcomes
Presenter
Presentation Notes
13Ten steps ndashoverviewhelliplist all ten1313The ten steps to successful breastfeeding include 131 Hospital breastfeeding policies- that address all TEN STEPS 132 Staff education of breastfeeding best practices and even a designated staff member responsible for lactation support133 Pre an post partum breastfeeding education134 Help mothers breastfeed within the first birth hour135 Who mothers how to breastfeed and how to maintain lactation if separated from baby136 No formula unless medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers1310 And out of hospital community support where does mother find help at 2am if she needs breastfeeding support and assistance13131313ABI is the only effort in Alaska address steps 1-10 with birthing center staff 1313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum13
Presenter
Presentation Notes
5 Who mothers how to breastfeed and how to maintain lactation if separated from baby136 No formula unless medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers1310 And out of hospital community support where does mother find help at 2am if she needs breastfeeding support and assistance1313ABI is the only effort in Alaska address steps 1-10 with birthing center staff 1313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum131313Ten steps ndashoverviewhelliplist all ten1313The ten steps to successful breastfeeding include 131 Hospital breastfeeding policies- that address all TEN STEPS 132 Staff education of breastfeeding best practices133 Pre an post partum breastfeeding education for mothers and families134 Help mothers breastfeed within the first birth hour vag 2 hours csect135 Show mothers how to breastfeed and how to maintain lactation if separated from baby136 formula only if medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day- infant procedures to occur in same room as mother138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers for 1st 48 hours1310 And out of hospital community support where does mother go at 2am if she needs breastfeeding support and assistance1313ABI is the only effort in Alaska address steps 1-7 with birthing center staff 1313How to improve rate 1313Research shows certain steps have strongest evidence 13The steps with most evidence will get more attention in my talk and in our program131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum13

Steps with most evidencemPINC results 2009-2015

13

16

79

74

85

19

39

90

89

93

24

57

62

70

90

All Ten Step policies

Community support

Show mothers how to feed

Prenatal education

Early contact and feeding

2015

2013

2009

Source CDC mPINC 200920132015

Presenter
Presentation Notes
This shows mPINC data from 2009 (before Alaska Breastfeeding Initiative kicked off in 2012)13132009 before ABI 132013 data collected during 2012 when ABI started itrsquos work on improving breast feeding outcomes through TEN STEPS132015 data collected during 2014 Akrsquos score (out of 100) remained the same No big leaps as seen from 2009-131313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 13

Alaska Breastfeeding Initiative

Presenter
Presentation Notes
httpspediatricsaappublicationsorgcontent1293e827fullcontent-block- AAP endorses TEN STEPS TO SUCCESSFUL BREASTFEEDING1313Hospital practices in the first hours and days after birth make the difference in whether and how long babies are breastfed Remember that is Step 4-9 13Step 4- help mothers initiate breastfeed asap (skin to skin)13Step 5- show mothers how to latch13Step 6- only breastmilk unless formula medically necessary13Step 7- Rooming in13Step 8- Breastfeeding on demand13Step 9 no pacifiers13 1313The International Code Marketing of Breastmilk Substitutes by offering education and educational material that promote human milk rather than other food and drinks and by refusing to accept or distribute free or subsidized supplies of breastmilk substitutes nipples and other feeding devices 1313of commercial discharge packs which contain samples of breastmilk substitutes adversely affects breastfeeding and there is no justification for giving them Second discontinuing the provision of formula in maternity facilities has been shown to be one of the most cost-effective health interventions known1313Hospital routines can help or hinder new mothers and babies while theyrsquore learning to breastfeed 131313CDCrsquos national survey of Maternity Practices in Infant Nutrition and Care (mPINC) is administered every two years to monitor and examine changes in practices over time at all hospitals and birth centers with registered maternity beds in the United States and Territories1313So our work will be officially evaluated by CDC in 2021 and results available 2022 1313But we are doing internal programmatic evaluations every year with the hospitals we have offered TEN STEP training 13We are offering technical assistance and sharing model TEN STEP POLICIES 13We recently helped Fairbanks write a grant to receive funds to concentrate specifically on the most evidenced steps I mentioned earlier STEP 3- prenatal and Step 10 community support 1313

1

image1png

Work on all strategies at once

Presenter
Presentation Notes
Our program WIC ABC many hospitals and ABI and partners are working on all 9 of CDC Guide to Strategies to Support Breastfeeding Mothers and Babies 1313That last one ldquoaddressing marketing of infant formulardquo is part of the 1313Strategy 9 is referred to you make hear it called the International Code of Marketing of Breast-milk Substitutes which means 13httpswwwcdcgovbreastfeedingpdfBF_guide_7pdf1313httpswwwcdcgovbreastfeedingpdfBF_guide_7pdf1313The International Code recommends 13No advertising of breast-milk substitutes directly to the public 13No free samples to mothers 13No promotion of products in health care facilities 13No commercial product representatives to advise mothers 13No gifts or personal samples to health workers 13No words or pictures idealizing artificial feeding including pictures of infants on the products 1313The International Code also states 13Information to health workers should be scientific and factual 13All information on artificial feeding including the labels should explain the benefits of breastfeeding and the costs and hazards associated with artificial feeding 13Unsuitable products such as condensed milk should not be promoted for babies 13All products should be of a high quality and take into account the climatic and storage conditions of the country where they are used 13131313

2019 Alaska Baby Friendly Hospitals

Over the Last 5 Years (2014-2019)

20 of all births will occur in baby friendly hospitalsbull Representing 55 of Alaska Natives

Source 2019 Alaska HAVRS (Number of births Alaska Native births)

Presenter
Presentation Notes
The baby friendly hospital initiative is a global program sponsored by the WHO and United Nations Childrens Fund (UNICEF) to encourage and recognize hospitals and birth centers that offer an optimal level of care for lactation based on the TEN STEPS to Successful Breastfeeding and the International Code of Marketing of Breast-milk substitutes1313Source Baby Friendly USA Baby Friendly Hospitals and Birth Centers designated as of June 2018 Available at httpwwwbabyfriendlyusaorg13 Baby Friendly USA reviewed policies and reviewed all criteria to get he designating as baby friendly Many hospitals implement the 10 steps without official baby friendly designation

How you can support breastfeeding

bull Prenatal breastfeeding education

bull Maternity centers show mothers how to breastfeed-early and often

bull Support after hospital discharge

Presenter
Presentation Notes
Remember the goal here is to concentrate on the steps that have the most evidence1313Ask for or help develop opportunities for prenatal breastfeeding education1313Maternity centers can show mothers how to breastfeed early and often Skin to skin without 30 minutes to 1 hour (vag) 30 min to 2 hours for c sect1313Support mothers and babies after discharge through peer support program breast feeding programs at early child education centers and support in workplace

Breastfeeding Improves Nutrition and is an Investment In Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to write down any questions you may have about Breast Feeding Initiative or breastfeeding in general while you listen to my friend and colleague Lori talk about how food service guidelines improve nutrition and is an investment in health

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Discuss lifespan of how we work with infants preschool school age and adults 13

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Dawn ldquoNow Irsquom going to let my friend and colleague Loti show you how food service guidelines improves nutrition and is an investment in health ldquo13____________________________________________________________________________________________________________________________________________________________________________13Lori Thank you Dawn for setting the stage 13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Donuts on the counterbull Chocolate or candy from your snack drawerbull Food from the vending machinebull Walk to the cafeteria or store for a healthy option

Itrsquos 3pm you worked through lunch and your belly is growling

Food Service Guidelines

Presenter
Presentation Notes
What we eat and drink impacts our health but we tend to eat whatrsquos readily available 1313Food Service Guidelines represent a voluntary set of best business practices that ensure safe healthy food options are available13The availability of healthy affordable foods contributes to a personrsquos diet and risk of diet-related chronic diseases13Fewer than 1 in 10 adults eat the recommended daily amount of fruits and vegetables1313What we eat and drink impacts our health but we tend to eat whatrsquos readily available 13The average American consuming more than one-third of their calories through foods prepared away from home organizations across Alaska and the country are realizing that the foods and beverages they offer at their work sites provide a significant opportunity to promote and improve employee health13Making healthier food and beverages available in public places lets families employees patients and children 13Eat healthy13Helps prevent weight gain and diseases like type 2 diabetes cancer and heart disease13

Food Service Guidelines

Goalsbull Healthier foods and

beverages bull Support local food

sourcing

Presenter
Presentation Notes
Healthier food and beverages available (cafeterias workplace coffee shops schools etc1313Local Food Sourcing includes farmers markets including at your work site mom and pop stores cars microgreens from Talkeetna that deliver to Anchorage seafood at farmers markets 1313Example Farm to table with our local farmers market in anchorage brought local chickens from homer to anchorage Previously available only sold to grocery stores and now available to direct consumers

Healthy Food Initiative

bull Established partnership with Alaska Native Tribal Health Consortium (ANTHC)bull Campus Healthy Food Project (CHeF)

bull Vending bull Coffee Cartsbull Cafeteriasbull Mini-Stores

Presenter
Presentation Notes
talk about ANTHC includes SCF and ANMC when the term campus is used give examples of food service facilities (vending coffee carts cafeterias mini-stores give counts for the campus talk about why this is a good location worksite lots of visitors of workers potentially impacted and visitor if you know those

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Presenter
Presentation Notes
I am going to walk through different examples of this wheel showing how Food Services Guidelines are developed and implemented For example understanding and knowing your leadership

Engage Stakeholders and Partners

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Community Support

Positive Responses ldquoThey taste greatrdquoldquoI like to feel energizedrdquo ldquoIt makes me feel more productive at workrdquo

bull Employees feel supportedbull Encouraged to take better

care of themselves bull Appreciate having healthy

options

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Food and Beverage Assessment

Examples include bull Fruit and Vegetablesbull Grainsbull Dairybull Beveragesbull Nutritional Labeling

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Update Food and Beverage Policy

bull Traditional Foods introduced into hospitals

bull Soda free Campus

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Review Purchasing and Agreement

Process for purchasing agreements

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Communication Strategies

Healthy Food Choices

Benefitsbull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancers

Source Dietary Guidelines for Americans 2015-2020 Eight Edition (pg 17)

Presenter
Presentation Notes
httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Fruit on the counterbull Nuts from your snack drawerbull Healthy Food from the vending machinebull Drive your car to the closest fast food joint

Itrsquos 3pm you worked through lunch and your belly is growling

Presenter
Presentation Notes
Making the healthy choice the easy choice

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to save any questions you may have while you listen to my friend and colleague Dawn talk about how active transportation improves physical activity and is an investment in health 13

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Active Transportation is a strategy to increase physical activity and works across the lifespan Think of strollering baby to a park walking child to day care school or the rest of us using active transportation to walk bike or bus to any destination we desire

Active Transportation Improves Physical Activity and is

an Investment in Health

Presenter
Presentation Notes
Imagine how much PA you would each tally if everyday you had a activity friendly route (safe route to walk your kids to school use transit carpool bike to meet friends at a restaurant grab groceries or arrive work Of course this would mean you would get more physical activity

Safer and Healthier Streets for EVERYONE

Active Transportation Initiative

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

2018 Physical Activity Guidelines

Adultsbull 150 minutes moderate

intensity per week

School-agebull 60 minutes or more every

day

Preschool bull Active throughout the day

httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf

Presenter
Presentation Notes
The Physical Activity Guidelines for Americans is issues by the US Dept of Health and Human Services The primary audience is policy makers and health professionals though it may also be interesting to members of the public The main ide behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits 1313Key Guidelines1313Adults should move more and sit less throughout the day Some physical activity is better than none 22 minutes or more every day combination of moderate and vigorous intensity with 2 or more days a week of muscle strengthening 1313School-age appropriate to age and enjoyable variety1313Preschool variety of active play throughout the day1313Source httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf1313So we know the guidelines for PA now13

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 23: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori
Presenter
Presentation Notes
13Ten steps ndashoverviewhelliplist all ten1313The ten steps to successful breastfeeding include 131 Hospital breastfeeding policies- that address all TEN STEPS 132 Staff education of breastfeeding best practices and even a designated staff member responsible for lactation support133 Pre an post partum breastfeeding education134 Help mothers breastfeed within the first birth hour135 Who mothers how to breastfeed and how to maintain lactation if separated from baby136 No formula unless medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers1310 And out of hospital community support where does mother find help at 2am if she needs breastfeeding support and assistance13131313ABI is the only effort in Alaska address steps 1-10 with birthing center staff 1313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum13
Presenter
Presentation Notes
5 Who mothers how to breastfeed and how to maintain lactation if separated from baby136 No formula unless medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers1310 And out of hospital community support where does mother find help at 2am if she needs breastfeeding support and assistance1313ABI is the only effort in Alaska address steps 1-10 with birthing center staff 1313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum131313Ten steps ndashoverviewhelliplist all ten1313The ten steps to successful breastfeeding include 131 Hospital breastfeeding policies- that address all TEN STEPS 132 Staff education of breastfeeding best practices133 Pre an post partum breastfeeding education for mothers and families134 Help mothers breastfeed within the first birth hour vag 2 hours csect135 Show mothers how to breastfeed and how to maintain lactation if separated from baby136 formula only if medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day- infant procedures to occur in same room as mother138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers for 1st 48 hours1310 And out of hospital community support where does mother go at 2am if she needs breastfeeding support and assistance1313ABI is the only effort in Alaska address steps 1-7 with birthing center staff 1313How to improve rate 1313Research shows certain steps have strongest evidence 13The steps with most evidence will get more attention in my talk and in our program131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum13

Steps with most evidencemPINC results 2009-2015

13

16

79

74

85

19

39

90

89

93

24

57

62

70

90

All Ten Step policies

Community support

Show mothers how to feed

Prenatal education

Early contact and feeding

2015

2013

2009

Source CDC mPINC 200920132015

Presenter
Presentation Notes
This shows mPINC data from 2009 (before Alaska Breastfeeding Initiative kicked off in 2012)13132009 before ABI 132013 data collected during 2012 when ABI started itrsquos work on improving breast feeding outcomes through TEN STEPS132015 data collected during 2014 Akrsquos score (out of 100) remained the same No big leaps as seen from 2009-131313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 13

Alaska Breastfeeding Initiative

Presenter
Presentation Notes
httpspediatricsaappublicationsorgcontent1293e827fullcontent-block- AAP endorses TEN STEPS TO SUCCESSFUL BREASTFEEDING1313Hospital practices in the first hours and days after birth make the difference in whether and how long babies are breastfed Remember that is Step 4-9 13Step 4- help mothers initiate breastfeed asap (skin to skin)13Step 5- show mothers how to latch13Step 6- only breastmilk unless formula medically necessary13Step 7- Rooming in13Step 8- Breastfeeding on demand13Step 9 no pacifiers13 1313The International Code Marketing of Breastmilk Substitutes by offering education and educational material that promote human milk rather than other food and drinks and by refusing to accept or distribute free or subsidized supplies of breastmilk substitutes nipples and other feeding devices 1313of commercial discharge packs which contain samples of breastmilk substitutes adversely affects breastfeeding and there is no justification for giving them Second discontinuing the provision of formula in maternity facilities has been shown to be one of the most cost-effective health interventions known1313Hospital routines can help or hinder new mothers and babies while theyrsquore learning to breastfeed 131313CDCrsquos national survey of Maternity Practices in Infant Nutrition and Care (mPINC) is administered every two years to monitor and examine changes in practices over time at all hospitals and birth centers with registered maternity beds in the United States and Territories1313So our work will be officially evaluated by CDC in 2021 and results available 2022 1313But we are doing internal programmatic evaluations every year with the hospitals we have offered TEN STEP training 13We are offering technical assistance and sharing model TEN STEP POLICIES 13We recently helped Fairbanks write a grant to receive funds to concentrate specifically on the most evidenced steps I mentioned earlier STEP 3- prenatal and Step 10 community support 1313

1

image1png

Work on all strategies at once

Presenter
Presentation Notes
Our program WIC ABC many hospitals and ABI and partners are working on all 9 of CDC Guide to Strategies to Support Breastfeeding Mothers and Babies 1313That last one ldquoaddressing marketing of infant formulardquo is part of the 1313Strategy 9 is referred to you make hear it called the International Code of Marketing of Breast-milk Substitutes which means 13httpswwwcdcgovbreastfeedingpdfBF_guide_7pdf1313httpswwwcdcgovbreastfeedingpdfBF_guide_7pdf1313The International Code recommends 13No advertising of breast-milk substitutes directly to the public 13No free samples to mothers 13No promotion of products in health care facilities 13No commercial product representatives to advise mothers 13No gifts or personal samples to health workers 13No words or pictures idealizing artificial feeding including pictures of infants on the products 1313The International Code also states 13Information to health workers should be scientific and factual 13All information on artificial feeding including the labels should explain the benefits of breastfeeding and the costs and hazards associated with artificial feeding 13Unsuitable products such as condensed milk should not be promoted for babies 13All products should be of a high quality and take into account the climatic and storage conditions of the country where they are used 13131313

2019 Alaska Baby Friendly Hospitals

Over the Last 5 Years (2014-2019)

20 of all births will occur in baby friendly hospitalsbull Representing 55 of Alaska Natives

Source 2019 Alaska HAVRS (Number of births Alaska Native births)

Presenter
Presentation Notes
The baby friendly hospital initiative is a global program sponsored by the WHO and United Nations Childrens Fund (UNICEF) to encourage and recognize hospitals and birth centers that offer an optimal level of care for lactation based on the TEN STEPS to Successful Breastfeeding and the International Code of Marketing of Breast-milk substitutes1313Source Baby Friendly USA Baby Friendly Hospitals and Birth Centers designated as of June 2018 Available at httpwwwbabyfriendlyusaorg13 Baby Friendly USA reviewed policies and reviewed all criteria to get he designating as baby friendly Many hospitals implement the 10 steps without official baby friendly designation

How you can support breastfeeding

bull Prenatal breastfeeding education

bull Maternity centers show mothers how to breastfeed-early and often

bull Support after hospital discharge

Presenter
Presentation Notes
Remember the goal here is to concentrate on the steps that have the most evidence1313Ask for or help develop opportunities for prenatal breastfeeding education1313Maternity centers can show mothers how to breastfeed early and often Skin to skin without 30 minutes to 1 hour (vag) 30 min to 2 hours for c sect1313Support mothers and babies after discharge through peer support program breast feeding programs at early child education centers and support in workplace

Breastfeeding Improves Nutrition and is an Investment In Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to write down any questions you may have about Breast Feeding Initiative or breastfeeding in general while you listen to my friend and colleague Lori talk about how food service guidelines improve nutrition and is an investment in health

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Discuss lifespan of how we work with infants preschool school age and adults 13

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Dawn ldquoNow Irsquom going to let my friend and colleague Loti show you how food service guidelines improves nutrition and is an investment in health ldquo13____________________________________________________________________________________________________________________________________________________________________________13Lori Thank you Dawn for setting the stage 13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Donuts on the counterbull Chocolate or candy from your snack drawerbull Food from the vending machinebull Walk to the cafeteria or store for a healthy option

Itrsquos 3pm you worked through lunch and your belly is growling

Food Service Guidelines

Presenter
Presentation Notes
What we eat and drink impacts our health but we tend to eat whatrsquos readily available 1313Food Service Guidelines represent a voluntary set of best business practices that ensure safe healthy food options are available13The availability of healthy affordable foods contributes to a personrsquos diet and risk of diet-related chronic diseases13Fewer than 1 in 10 adults eat the recommended daily amount of fruits and vegetables1313What we eat and drink impacts our health but we tend to eat whatrsquos readily available 13The average American consuming more than one-third of their calories through foods prepared away from home organizations across Alaska and the country are realizing that the foods and beverages they offer at their work sites provide a significant opportunity to promote and improve employee health13Making healthier food and beverages available in public places lets families employees patients and children 13Eat healthy13Helps prevent weight gain and diseases like type 2 diabetes cancer and heart disease13

Food Service Guidelines

Goalsbull Healthier foods and

beverages bull Support local food

sourcing

Presenter
Presentation Notes
Healthier food and beverages available (cafeterias workplace coffee shops schools etc1313Local Food Sourcing includes farmers markets including at your work site mom and pop stores cars microgreens from Talkeetna that deliver to Anchorage seafood at farmers markets 1313Example Farm to table with our local farmers market in anchorage brought local chickens from homer to anchorage Previously available only sold to grocery stores and now available to direct consumers

Healthy Food Initiative

bull Established partnership with Alaska Native Tribal Health Consortium (ANTHC)bull Campus Healthy Food Project (CHeF)

bull Vending bull Coffee Cartsbull Cafeteriasbull Mini-Stores

Presenter
Presentation Notes
talk about ANTHC includes SCF and ANMC when the term campus is used give examples of food service facilities (vending coffee carts cafeterias mini-stores give counts for the campus talk about why this is a good location worksite lots of visitors of workers potentially impacted and visitor if you know those

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Presenter
Presentation Notes
I am going to walk through different examples of this wheel showing how Food Services Guidelines are developed and implemented For example understanding and knowing your leadership

Engage Stakeholders and Partners

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Community Support

Positive Responses ldquoThey taste greatrdquoldquoI like to feel energizedrdquo ldquoIt makes me feel more productive at workrdquo

bull Employees feel supportedbull Encouraged to take better

care of themselves bull Appreciate having healthy

options

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Food and Beverage Assessment

Examples include bull Fruit and Vegetablesbull Grainsbull Dairybull Beveragesbull Nutritional Labeling

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Update Food and Beverage Policy

bull Traditional Foods introduced into hospitals

bull Soda free Campus

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Review Purchasing and Agreement

Process for purchasing agreements

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Communication Strategies

Healthy Food Choices

Benefitsbull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancers

Source Dietary Guidelines for Americans 2015-2020 Eight Edition (pg 17)

Presenter
Presentation Notes
httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Fruit on the counterbull Nuts from your snack drawerbull Healthy Food from the vending machinebull Drive your car to the closest fast food joint

Itrsquos 3pm you worked through lunch and your belly is growling

Presenter
Presentation Notes
Making the healthy choice the easy choice

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to save any questions you may have while you listen to my friend and colleague Dawn talk about how active transportation improves physical activity and is an investment in health 13

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Active Transportation is a strategy to increase physical activity and works across the lifespan Think of strollering baby to a park walking child to day care school or the rest of us using active transportation to walk bike or bus to any destination we desire

Active Transportation Improves Physical Activity and is

an Investment in Health

Presenter
Presentation Notes
Imagine how much PA you would each tally if everyday you had a activity friendly route (safe route to walk your kids to school use transit carpool bike to meet friends at a restaurant grab groceries or arrive work Of course this would mean you would get more physical activity

Safer and Healthier Streets for EVERYONE

Active Transportation Initiative

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

2018 Physical Activity Guidelines

Adultsbull 150 minutes moderate

intensity per week

School-agebull 60 minutes or more every

day

Preschool bull Active throughout the day

httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf

Presenter
Presentation Notes
The Physical Activity Guidelines for Americans is issues by the US Dept of Health and Human Services The primary audience is policy makers and health professionals though it may also be interesting to members of the public The main ide behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits 1313Key Guidelines1313Adults should move more and sit less throughout the day Some physical activity is better than none 22 minutes or more every day combination of moderate and vigorous intensity with 2 or more days a week of muscle strengthening 1313School-age appropriate to age and enjoyable variety1313Preschool variety of active play throughout the day1313Source httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf1313So we know the guidelines for PA now13

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 24: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori
Presenter
Presentation Notes
5 Who mothers how to breastfeed and how to maintain lactation if separated from baby136 No formula unless medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers1310 And out of hospital community support where does mother find help at 2am if she needs breastfeeding support and assistance1313ABI is the only effort in Alaska address steps 1-10 with birthing center staff 1313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum131313Ten steps ndashoverviewhelliplist all ten1313The ten steps to successful breastfeeding include 131 Hospital breastfeeding policies- that address all TEN STEPS 132 Staff education of breastfeeding best practices133 Pre an post partum breastfeeding education for mothers and families134 Help mothers breastfeed within the first birth hour vag 2 hours csect135 Show mothers how to breastfeed and how to maintain lactation if separated from baby136 formula only if medically necessary137 Rooming in- allow mother and babies to remain together 24 hr per day- infant procedures to occur in same room as mother138 Encourage breastfeeding on demand educate women that babies should be fed before they are hungry and teaching mothers signs to indicate babies need food feeding cues139 No pacifiers for 1st 48 hours1310 And out of hospital community support where does mother go at 2am if she needs breastfeeding support and assistance1313ABI is the only effort in Alaska address steps 1-7 with birthing center staff 1313How to improve rate 1313Research shows certain steps have strongest evidence 13The steps with most evidence will get more attention in my talk and in our program131313Other program like WIC and ABC are working on step 10- breastfeeding support groups1313WIC is working on prenatalhellippost partum13

Steps with most evidencemPINC results 2009-2015

13

16

79

74

85

19

39

90

89

93

24

57

62

70

90

All Ten Step policies

Community support

Show mothers how to feed

Prenatal education

Early contact and feeding

2015

2013

2009

Source CDC mPINC 200920132015

Presenter
Presentation Notes
This shows mPINC data from 2009 (before Alaska Breastfeeding Initiative kicked off in 2012)13132009 before ABI 132013 data collected during 2012 when ABI started itrsquos work on improving breast feeding outcomes through TEN STEPS132015 data collected during 2014 Akrsquos score (out of 100) remained the same No big leaps as seen from 2009-131313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 13

Alaska Breastfeeding Initiative

Presenter
Presentation Notes
httpspediatricsaappublicationsorgcontent1293e827fullcontent-block- AAP endorses TEN STEPS TO SUCCESSFUL BREASTFEEDING1313Hospital practices in the first hours and days after birth make the difference in whether and how long babies are breastfed Remember that is Step 4-9 13Step 4- help mothers initiate breastfeed asap (skin to skin)13Step 5- show mothers how to latch13Step 6- only breastmilk unless formula medically necessary13Step 7- Rooming in13Step 8- Breastfeeding on demand13Step 9 no pacifiers13 1313The International Code Marketing of Breastmilk Substitutes by offering education and educational material that promote human milk rather than other food and drinks and by refusing to accept or distribute free or subsidized supplies of breastmilk substitutes nipples and other feeding devices 1313of commercial discharge packs which contain samples of breastmilk substitutes adversely affects breastfeeding and there is no justification for giving them Second discontinuing the provision of formula in maternity facilities has been shown to be one of the most cost-effective health interventions known1313Hospital routines can help or hinder new mothers and babies while theyrsquore learning to breastfeed 131313CDCrsquos national survey of Maternity Practices in Infant Nutrition and Care (mPINC) is administered every two years to monitor and examine changes in practices over time at all hospitals and birth centers with registered maternity beds in the United States and Territories1313So our work will be officially evaluated by CDC in 2021 and results available 2022 1313But we are doing internal programmatic evaluations every year with the hospitals we have offered TEN STEP training 13We are offering technical assistance and sharing model TEN STEP POLICIES 13We recently helped Fairbanks write a grant to receive funds to concentrate specifically on the most evidenced steps I mentioned earlier STEP 3- prenatal and Step 10 community support 1313

1

image1png

Work on all strategies at once

Presenter
Presentation Notes
Our program WIC ABC many hospitals and ABI and partners are working on all 9 of CDC Guide to Strategies to Support Breastfeeding Mothers and Babies 1313That last one ldquoaddressing marketing of infant formulardquo is part of the 1313Strategy 9 is referred to you make hear it called the International Code of Marketing of Breast-milk Substitutes which means 13httpswwwcdcgovbreastfeedingpdfBF_guide_7pdf1313httpswwwcdcgovbreastfeedingpdfBF_guide_7pdf1313The International Code recommends 13No advertising of breast-milk substitutes directly to the public 13No free samples to mothers 13No promotion of products in health care facilities 13No commercial product representatives to advise mothers 13No gifts or personal samples to health workers 13No words or pictures idealizing artificial feeding including pictures of infants on the products 1313The International Code also states 13Information to health workers should be scientific and factual 13All information on artificial feeding including the labels should explain the benefits of breastfeeding and the costs and hazards associated with artificial feeding 13Unsuitable products such as condensed milk should not be promoted for babies 13All products should be of a high quality and take into account the climatic and storage conditions of the country where they are used 13131313

2019 Alaska Baby Friendly Hospitals

Over the Last 5 Years (2014-2019)

20 of all births will occur in baby friendly hospitalsbull Representing 55 of Alaska Natives

Source 2019 Alaska HAVRS (Number of births Alaska Native births)

Presenter
Presentation Notes
The baby friendly hospital initiative is a global program sponsored by the WHO and United Nations Childrens Fund (UNICEF) to encourage and recognize hospitals and birth centers that offer an optimal level of care for lactation based on the TEN STEPS to Successful Breastfeeding and the International Code of Marketing of Breast-milk substitutes1313Source Baby Friendly USA Baby Friendly Hospitals and Birth Centers designated as of June 2018 Available at httpwwwbabyfriendlyusaorg13 Baby Friendly USA reviewed policies and reviewed all criteria to get he designating as baby friendly Many hospitals implement the 10 steps without official baby friendly designation

How you can support breastfeeding

bull Prenatal breastfeeding education

bull Maternity centers show mothers how to breastfeed-early and often

bull Support after hospital discharge

Presenter
Presentation Notes
Remember the goal here is to concentrate on the steps that have the most evidence1313Ask for or help develop opportunities for prenatal breastfeeding education1313Maternity centers can show mothers how to breastfeed early and often Skin to skin without 30 minutes to 1 hour (vag) 30 min to 2 hours for c sect1313Support mothers and babies after discharge through peer support program breast feeding programs at early child education centers and support in workplace

Breastfeeding Improves Nutrition and is an Investment In Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to write down any questions you may have about Breast Feeding Initiative or breastfeeding in general while you listen to my friend and colleague Lori talk about how food service guidelines improve nutrition and is an investment in health

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Discuss lifespan of how we work with infants preschool school age and adults 13

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Dawn ldquoNow Irsquom going to let my friend and colleague Loti show you how food service guidelines improves nutrition and is an investment in health ldquo13____________________________________________________________________________________________________________________________________________________________________________13Lori Thank you Dawn for setting the stage 13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Donuts on the counterbull Chocolate or candy from your snack drawerbull Food from the vending machinebull Walk to the cafeteria or store for a healthy option

Itrsquos 3pm you worked through lunch and your belly is growling

Food Service Guidelines

Presenter
Presentation Notes
What we eat and drink impacts our health but we tend to eat whatrsquos readily available 1313Food Service Guidelines represent a voluntary set of best business practices that ensure safe healthy food options are available13The availability of healthy affordable foods contributes to a personrsquos diet and risk of diet-related chronic diseases13Fewer than 1 in 10 adults eat the recommended daily amount of fruits and vegetables1313What we eat and drink impacts our health but we tend to eat whatrsquos readily available 13The average American consuming more than one-third of their calories through foods prepared away from home organizations across Alaska and the country are realizing that the foods and beverages they offer at their work sites provide a significant opportunity to promote and improve employee health13Making healthier food and beverages available in public places lets families employees patients and children 13Eat healthy13Helps prevent weight gain and diseases like type 2 diabetes cancer and heart disease13

Food Service Guidelines

Goalsbull Healthier foods and

beverages bull Support local food

sourcing

Presenter
Presentation Notes
Healthier food and beverages available (cafeterias workplace coffee shops schools etc1313Local Food Sourcing includes farmers markets including at your work site mom and pop stores cars microgreens from Talkeetna that deliver to Anchorage seafood at farmers markets 1313Example Farm to table with our local farmers market in anchorage brought local chickens from homer to anchorage Previously available only sold to grocery stores and now available to direct consumers

Healthy Food Initiative

bull Established partnership with Alaska Native Tribal Health Consortium (ANTHC)bull Campus Healthy Food Project (CHeF)

bull Vending bull Coffee Cartsbull Cafeteriasbull Mini-Stores

Presenter
Presentation Notes
talk about ANTHC includes SCF and ANMC when the term campus is used give examples of food service facilities (vending coffee carts cafeterias mini-stores give counts for the campus talk about why this is a good location worksite lots of visitors of workers potentially impacted and visitor if you know those

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Presenter
Presentation Notes
I am going to walk through different examples of this wheel showing how Food Services Guidelines are developed and implemented For example understanding and knowing your leadership

Engage Stakeholders and Partners

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Community Support

Positive Responses ldquoThey taste greatrdquoldquoI like to feel energizedrdquo ldquoIt makes me feel more productive at workrdquo

bull Employees feel supportedbull Encouraged to take better

care of themselves bull Appreciate having healthy

options

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Food and Beverage Assessment

Examples include bull Fruit and Vegetablesbull Grainsbull Dairybull Beveragesbull Nutritional Labeling

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Update Food and Beverage Policy

bull Traditional Foods introduced into hospitals

bull Soda free Campus

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Review Purchasing and Agreement

Process for purchasing agreements

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Communication Strategies

Healthy Food Choices

Benefitsbull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancers

Source Dietary Guidelines for Americans 2015-2020 Eight Edition (pg 17)

Presenter
Presentation Notes
httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Fruit on the counterbull Nuts from your snack drawerbull Healthy Food from the vending machinebull Drive your car to the closest fast food joint

Itrsquos 3pm you worked through lunch and your belly is growling

Presenter
Presentation Notes
Making the healthy choice the easy choice

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to save any questions you may have while you listen to my friend and colleague Dawn talk about how active transportation improves physical activity and is an investment in health 13

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Active Transportation is a strategy to increase physical activity and works across the lifespan Think of strollering baby to a park walking child to day care school or the rest of us using active transportation to walk bike or bus to any destination we desire

Active Transportation Improves Physical Activity and is

an Investment in Health

Presenter
Presentation Notes
Imagine how much PA you would each tally if everyday you had a activity friendly route (safe route to walk your kids to school use transit carpool bike to meet friends at a restaurant grab groceries or arrive work Of course this would mean you would get more physical activity

Safer and Healthier Streets for EVERYONE

Active Transportation Initiative

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

2018 Physical Activity Guidelines

Adultsbull 150 minutes moderate

intensity per week

School-agebull 60 minutes or more every

day

Preschool bull Active throughout the day

httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf

Presenter
Presentation Notes
The Physical Activity Guidelines for Americans is issues by the US Dept of Health and Human Services The primary audience is policy makers and health professionals though it may also be interesting to members of the public The main ide behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits 1313Key Guidelines1313Adults should move more and sit less throughout the day Some physical activity is better than none 22 minutes or more every day combination of moderate and vigorous intensity with 2 or more days a week of muscle strengthening 1313School-age appropriate to age and enjoyable variety1313Preschool variety of active play throughout the day1313Source httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf1313So we know the guidelines for PA now13

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 25: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Steps with most evidencemPINC results 2009-2015

13

16

79

74

85

19

39

90

89

93

24

57

62

70

90

All Ten Step policies

Community support

Show mothers how to feed

Prenatal education

Early contact and feeding

2015

2013

2009

Source CDC mPINC 200920132015

Presenter
Presentation Notes
This shows mPINC data from 2009 (before Alaska Breastfeeding Initiative kicked off in 2012)13132009 before ABI 132013 data collected during 2012 when ABI started itrsquos work on improving breast feeding outcomes through TEN STEPS132015 data collected during 2014 Akrsquos score (out of 100) remained the same No big leaps as seen from 2009-131313How to improve rate 1313Research shows certain steps have stronger evidence 13The steps with most evidence will get more attention in my talk and in our program1313Step 3 Prenatal education13Step 4 baby breastfeeds within first hour vag delivery first 2 hours c sect13Step 5 Show mothers how to breastfeed asap13Step 10 Community Support13Help mothers initiate breastfeeding asap skin to skin 30 min to 1 hours and post partum breastfeeding education help mothers breastfeed within first birth hour 13

Alaska Breastfeeding Initiative

Presenter
Presentation Notes
httpspediatricsaappublicationsorgcontent1293e827fullcontent-block- AAP endorses TEN STEPS TO SUCCESSFUL BREASTFEEDING1313Hospital practices in the first hours and days after birth make the difference in whether and how long babies are breastfed Remember that is Step 4-9 13Step 4- help mothers initiate breastfeed asap (skin to skin)13Step 5- show mothers how to latch13Step 6- only breastmilk unless formula medically necessary13Step 7- Rooming in13Step 8- Breastfeeding on demand13Step 9 no pacifiers13 1313The International Code Marketing of Breastmilk Substitutes by offering education and educational material that promote human milk rather than other food and drinks and by refusing to accept or distribute free or subsidized supplies of breastmilk substitutes nipples and other feeding devices 1313of commercial discharge packs which contain samples of breastmilk substitutes adversely affects breastfeeding and there is no justification for giving them Second discontinuing the provision of formula in maternity facilities has been shown to be one of the most cost-effective health interventions known1313Hospital routines can help or hinder new mothers and babies while theyrsquore learning to breastfeed 131313CDCrsquos national survey of Maternity Practices in Infant Nutrition and Care (mPINC) is administered every two years to monitor and examine changes in practices over time at all hospitals and birth centers with registered maternity beds in the United States and Territories1313So our work will be officially evaluated by CDC in 2021 and results available 2022 1313But we are doing internal programmatic evaluations every year with the hospitals we have offered TEN STEP training 13We are offering technical assistance and sharing model TEN STEP POLICIES 13We recently helped Fairbanks write a grant to receive funds to concentrate specifically on the most evidenced steps I mentioned earlier STEP 3- prenatal and Step 10 community support 1313

1

image1png

Work on all strategies at once

Presenter
Presentation Notes
Our program WIC ABC many hospitals and ABI and partners are working on all 9 of CDC Guide to Strategies to Support Breastfeeding Mothers and Babies 1313That last one ldquoaddressing marketing of infant formulardquo is part of the 1313Strategy 9 is referred to you make hear it called the International Code of Marketing of Breast-milk Substitutes which means 13httpswwwcdcgovbreastfeedingpdfBF_guide_7pdf1313httpswwwcdcgovbreastfeedingpdfBF_guide_7pdf1313The International Code recommends 13No advertising of breast-milk substitutes directly to the public 13No free samples to mothers 13No promotion of products in health care facilities 13No commercial product representatives to advise mothers 13No gifts or personal samples to health workers 13No words or pictures idealizing artificial feeding including pictures of infants on the products 1313The International Code also states 13Information to health workers should be scientific and factual 13All information on artificial feeding including the labels should explain the benefits of breastfeeding and the costs and hazards associated with artificial feeding 13Unsuitable products such as condensed milk should not be promoted for babies 13All products should be of a high quality and take into account the climatic and storage conditions of the country where they are used 13131313

2019 Alaska Baby Friendly Hospitals

Over the Last 5 Years (2014-2019)

20 of all births will occur in baby friendly hospitalsbull Representing 55 of Alaska Natives

Source 2019 Alaska HAVRS (Number of births Alaska Native births)

Presenter
Presentation Notes
The baby friendly hospital initiative is a global program sponsored by the WHO and United Nations Childrens Fund (UNICEF) to encourage and recognize hospitals and birth centers that offer an optimal level of care for lactation based on the TEN STEPS to Successful Breastfeeding and the International Code of Marketing of Breast-milk substitutes1313Source Baby Friendly USA Baby Friendly Hospitals and Birth Centers designated as of June 2018 Available at httpwwwbabyfriendlyusaorg13 Baby Friendly USA reviewed policies and reviewed all criteria to get he designating as baby friendly Many hospitals implement the 10 steps without official baby friendly designation

How you can support breastfeeding

bull Prenatal breastfeeding education

bull Maternity centers show mothers how to breastfeed-early and often

bull Support after hospital discharge

Presenter
Presentation Notes
Remember the goal here is to concentrate on the steps that have the most evidence1313Ask for or help develop opportunities for prenatal breastfeeding education1313Maternity centers can show mothers how to breastfeed early and often Skin to skin without 30 minutes to 1 hour (vag) 30 min to 2 hours for c sect1313Support mothers and babies after discharge through peer support program breast feeding programs at early child education centers and support in workplace

Breastfeeding Improves Nutrition and is an Investment In Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to write down any questions you may have about Breast Feeding Initiative or breastfeeding in general while you listen to my friend and colleague Lori talk about how food service guidelines improve nutrition and is an investment in health

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Discuss lifespan of how we work with infants preschool school age and adults 13

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Dawn ldquoNow Irsquom going to let my friend and colleague Loti show you how food service guidelines improves nutrition and is an investment in health ldquo13____________________________________________________________________________________________________________________________________________________________________________13Lori Thank you Dawn for setting the stage 13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Donuts on the counterbull Chocolate or candy from your snack drawerbull Food from the vending machinebull Walk to the cafeteria or store for a healthy option

Itrsquos 3pm you worked through lunch and your belly is growling

Food Service Guidelines

Presenter
Presentation Notes
What we eat and drink impacts our health but we tend to eat whatrsquos readily available 1313Food Service Guidelines represent a voluntary set of best business practices that ensure safe healthy food options are available13The availability of healthy affordable foods contributes to a personrsquos diet and risk of diet-related chronic diseases13Fewer than 1 in 10 adults eat the recommended daily amount of fruits and vegetables1313What we eat and drink impacts our health but we tend to eat whatrsquos readily available 13The average American consuming more than one-third of their calories through foods prepared away from home organizations across Alaska and the country are realizing that the foods and beverages they offer at their work sites provide a significant opportunity to promote and improve employee health13Making healthier food and beverages available in public places lets families employees patients and children 13Eat healthy13Helps prevent weight gain and diseases like type 2 diabetes cancer and heart disease13

Food Service Guidelines

Goalsbull Healthier foods and

beverages bull Support local food

sourcing

Presenter
Presentation Notes
Healthier food and beverages available (cafeterias workplace coffee shops schools etc1313Local Food Sourcing includes farmers markets including at your work site mom and pop stores cars microgreens from Talkeetna that deliver to Anchorage seafood at farmers markets 1313Example Farm to table with our local farmers market in anchorage brought local chickens from homer to anchorage Previously available only sold to grocery stores and now available to direct consumers

Healthy Food Initiative

bull Established partnership with Alaska Native Tribal Health Consortium (ANTHC)bull Campus Healthy Food Project (CHeF)

bull Vending bull Coffee Cartsbull Cafeteriasbull Mini-Stores

Presenter
Presentation Notes
talk about ANTHC includes SCF and ANMC when the term campus is used give examples of food service facilities (vending coffee carts cafeterias mini-stores give counts for the campus talk about why this is a good location worksite lots of visitors of workers potentially impacted and visitor if you know those

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Presenter
Presentation Notes
I am going to walk through different examples of this wheel showing how Food Services Guidelines are developed and implemented For example understanding and knowing your leadership

Engage Stakeholders and Partners

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Community Support

Positive Responses ldquoThey taste greatrdquoldquoI like to feel energizedrdquo ldquoIt makes me feel more productive at workrdquo

bull Employees feel supportedbull Encouraged to take better

care of themselves bull Appreciate having healthy

options

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Food and Beverage Assessment

Examples include bull Fruit and Vegetablesbull Grainsbull Dairybull Beveragesbull Nutritional Labeling

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Update Food and Beverage Policy

bull Traditional Foods introduced into hospitals

bull Soda free Campus

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Review Purchasing and Agreement

Process for purchasing agreements

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Communication Strategies

Healthy Food Choices

Benefitsbull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancers

Source Dietary Guidelines for Americans 2015-2020 Eight Edition (pg 17)

Presenter
Presentation Notes
httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Fruit on the counterbull Nuts from your snack drawerbull Healthy Food from the vending machinebull Drive your car to the closest fast food joint

Itrsquos 3pm you worked through lunch and your belly is growling

Presenter
Presentation Notes
Making the healthy choice the easy choice

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to save any questions you may have while you listen to my friend and colleague Dawn talk about how active transportation improves physical activity and is an investment in health 13

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Active Transportation is a strategy to increase physical activity and works across the lifespan Think of strollering baby to a park walking child to day care school or the rest of us using active transportation to walk bike or bus to any destination we desire

Active Transportation Improves Physical Activity and is

an Investment in Health

Presenter
Presentation Notes
Imagine how much PA you would each tally if everyday you had a activity friendly route (safe route to walk your kids to school use transit carpool bike to meet friends at a restaurant grab groceries or arrive work Of course this would mean you would get more physical activity

Safer and Healthier Streets for EVERYONE

Active Transportation Initiative

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

2018 Physical Activity Guidelines

Adultsbull 150 minutes moderate

intensity per week

School-agebull 60 minutes or more every

day

Preschool bull Active throughout the day

httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf

Presenter
Presentation Notes
The Physical Activity Guidelines for Americans is issues by the US Dept of Health and Human Services The primary audience is policy makers and health professionals though it may also be interesting to members of the public The main ide behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits 1313Key Guidelines1313Adults should move more and sit less throughout the day Some physical activity is better than none 22 minutes or more every day combination of moderate and vigorous intensity with 2 or more days a week of muscle strengthening 1313School-age appropriate to age and enjoyable variety1313Preschool variety of active play throughout the day1313Source httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf1313So we know the guidelines for PA now13

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 26: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Alaska Breastfeeding Initiative

Presenter
Presentation Notes
httpspediatricsaappublicationsorgcontent1293e827fullcontent-block- AAP endorses TEN STEPS TO SUCCESSFUL BREASTFEEDING1313Hospital practices in the first hours and days after birth make the difference in whether and how long babies are breastfed Remember that is Step 4-9 13Step 4- help mothers initiate breastfeed asap (skin to skin)13Step 5- show mothers how to latch13Step 6- only breastmilk unless formula medically necessary13Step 7- Rooming in13Step 8- Breastfeeding on demand13Step 9 no pacifiers13 1313The International Code Marketing of Breastmilk Substitutes by offering education and educational material that promote human milk rather than other food and drinks and by refusing to accept or distribute free or subsidized supplies of breastmilk substitutes nipples and other feeding devices 1313of commercial discharge packs which contain samples of breastmilk substitutes adversely affects breastfeeding and there is no justification for giving them Second discontinuing the provision of formula in maternity facilities has been shown to be one of the most cost-effective health interventions known1313Hospital routines can help or hinder new mothers and babies while theyrsquore learning to breastfeed 131313CDCrsquos national survey of Maternity Practices in Infant Nutrition and Care (mPINC) is administered every two years to monitor and examine changes in practices over time at all hospitals and birth centers with registered maternity beds in the United States and Territories1313So our work will be officially evaluated by CDC in 2021 and results available 2022 1313But we are doing internal programmatic evaluations every year with the hospitals we have offered TEN STEP training 13We are offering technical assistance and sharing model TEN STEP POLICIES 13We recently helped Fairbanks write a grant to receive funds to concentrate specifically on the most evidenced steps I mentioned earlier STEP 3- prenatal and Step 10 community support 1313

1

image1png

Work on all strategies at once

Presenter
Presentation Notes
Our program WIC ABC many hospitals and ABI and partners are working on all 9 of CDC Guide to Strategies to Support Breastfeeding Mothers and Babies 1313That last one ldquoaddressing marketing of infant formulardquo is part of the 1313Strategy 9 is referred to you make hear it called the International Code of Marketing of Breast-milk Substitutes which means 13httpswwwcdcgovbreastfeedingpdfBF_guide_7pdf1313httpswwwcdcgovbreastfeedingpdfBF_guide_7pdf1313The International Code recommends 13No advertising of breast-milk substitutes directly to the public 13No free samples to mothers 13No promotion of products in health care facilities 13No commercial product representatives to advise mothers 13No gifts or personal samples to health workers 13No words or pictures idealizing artificial feeding including pictures of infants on the products 1313The International Code also states 13Information to health workers should be scientific and factual 13All information on artificial feeding including the labels should explain the benefits of breastfeeding and the costs and hazards associated with artificial feeding 13Unsuitable products such as condensed milk should not be promoted for babies 13All products should be of a high quality and take into account the climatic and storage conditions of the country where they are used 13131313

2019 Alaska Baby Friendly Hospitals

Over the Last 5 Years (2014-2019)

20 of all births will occur in baby friendly hospitalsbull Representing 55 of Alaska Natives

Source 2019 Alaska HAVRS (Number of births Alaska Native births)

Presenter
Presentation Notes
The baby friendly hospital initiative is a global program sponsored by the WHO and United Nations Childrens Fund (UNICEF) to encourage and recognize hospitals and birth centers that offer an optimal level of care for lactation based on the TEN STEPS to Successful Breastfeeding and the International Code of Marketing of Breast-milk substitutes1313Source Baby Friendly USA Baby Friendly Hospitals and Birth Centers designated as of June 2018 Available at httpwwwbabyfriendlyusaorg13 Baby Friendly USA reviewed policies and reviewed all criteria to get he designating as baby friendly Many hospitals implement the 10 steps without official baby friendly designation

How you can support breastfeeding

bull Prenatal breastfeeding education

bull Maternity centers show mothers how to breastfeed-early and often

bull Support after hospital discharge

Presenter
Presentation Notes
Remember the goal here is to concentrate on the steps that have the most evidence1313Ask for or help develop opportunities for prenatal breastfeeding education1313Maternity centers can show mothers how to breastfeed early and often Skin to skin without 30 minutes to 1 hour (vag) 30 min to 2 hours for c sect1313Support mothers and babies after discharge through peer support program breast feeding programs at early child education centers and support in workplace

Breastfeeding Improves Nutrition and is an Investment In Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to write down any questions you may have about Breast Feeding Initiative or breastfeeding in general while you listen to my friend and colleague Lori talk about how food service guidelines improve nutrition and is an investment in health

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Discuss lifespan of how we work with infants preschool school age and adults 13

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Dawn ldquoNow Irsquom going to let my friend and colleague Loti show you how food service guidelines improves nutrition and is an investment in health ldquo13____________________________________________________________________________________________________________________________________________________________________________13Lori Thank you Dawn for setting the stage 13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Donuts on the counterbull Chocolate or candy from your snack drawerbull Food from the vending machinebull Walk to the cafeteria or store for a healthy option

Itrsquos 3pm you worked through lunch and your belly is growling

Food Service Guidelines

Presenter
Presentation Notes
What we eat and drink impacts our health but we tend to eat whatrsquos readily available 1313Food Service Guidelines represent a voluntary set of best business practices that ensure safe healthy food options are available13The availability of healthy affordable foods contributes to a personrsquos diet and risk of diet-related chronic diseases13Fewer than 1 in 10 adults eat the recommended daily amount of fruits and vegetables1313What we eat and drink impacts our health but we tend to eat whatrsquos readily available 13The average American consuming more than one-third of their calories through foods prepared away from home organizations across Alaska and the country are realizing that the foods and beverages they offer at their work sites provide a significant opportunity to promote and improve employee health13Making healthier food and beverages available in public places lets families employees patients and children 13Eat healthy13Helps prevent weight gain and diseases like type 2 diabetes cancer and heart disease13

Food Service Guidelines

Goalsbull Healthier foods and

beverages bull Support local food

sourcing

Presenter
Presentation Notes
Healthier food and beverages available (cafeterias workplace coffee shops schools etc1313Local Food Sourcing includes farmers markets including at your work site mom and pop stores cars microgreens from Talkeetna that deliver to Anchorage seafood at farmers markets 1313Example Farm to table with our local farmers market in anchorage brought local chickens from homer to anchorage Previously available only sold to grocery stores and now available to direct consumers

Healthy Food Initiative

bull Established partnership with Alaska Native Tribal Health Consortium (ANTHC)bull Campus Healthy Food Project (CHeF)

bull Vending bull Coffee Cartsbull Cafeteriasbull Mini-Stores

Presenter
Presentation Notes
talk about ANTHC includes SCF and ANMC when the term campus is used give examples of food service facilities (vending coffee carts cafeterias mini-stores give counts for the campus talk about why this is a good location worksite lots of visitors of workers potentially impacted and visitor if you know those

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Presenter
Presentation Notes
I am going to walk through different examples of this wheel showing how Food Services Guidelines are developed and implemented For example understanding and knowing your leadership

Engage Stakeholders and Partners

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Community Support

Positive Responses ldquoThey taste greatrdquoldquoI like to feel energizedrdquo ldquoIt makes me feel more productive at workrdquo

bull Employees feel supportedbull Encouraged to take better

care of themselves bull Appreciate having healthy

options

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Food and Beverage Assessment

Examples include bull Fruit and Vegetablesbull Grainsbull Dairybull Beveragesbull Nutritional Labeling

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Update Food and Beverage Policy

bull Traditional Foods introduced into hospitals

bull Soda free Campus

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Review Purchasing and Agreement

Process for purchasing agreements

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Communication Strategies

Healthy Food Choices

Benefitsbull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancers

Source Dietary Guidelines for Americans 2015-2020 Eight Edition (pg 17)

Presenter
Presentation Notes
httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Fruit on the counterbull Nuts from your snack drawerbull Healthy Food from the vending machinebull Drive your car to the closest fast food joint

Itrsquos 3pm you worked through lunch and your belly is growling

Presenter
Presentation Notes
Making the healthy choice the easy choice

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to save any questions you may have while you listen to my friend and colleague Dawn talk about how active transportation improves physical activity and is an investment in health 13

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Active Transportation is a strategy to increase physical activity and works across the lifespan Think of strollering baby to a park walking child to day care school or the rest of us using active transportation to walk bike or bus to any destination we desire

Active Transportation Improves Physical Activity and is

an Investment in Health

Presenter
Presentation Notes
Imagine how much PA you would each tally if everyday you had a activity friendly route (safe route to walk your kids to school use transit carpool bike to meet friends at a restaurant grab groceries or arrive work Of course this would mean you would get more physical activity

Safer and Healthier Streets for EVERYONE

Active Transportation Initiative

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

2018 Physical Activity Guidelines

Adultsbull 150 minutes moderate

intensity per week

School-agebull 60 minutes or more every

day

Preschool bull Active throughout the day

httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf

Presenter
Presentation Notes
The Physical Activity Guidelines for Americans is issues by the US Dept of Health and Human Services The primary audience is policy makers and health professionals though it may also be interesting to members of the public The main ide behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits 1313Key Guidelines1313Adults should move more and sit less throughout the day Some physical activity is better than none 22 minutes or more every day combination of moderate and vigorous intensity with 2 or more days a week of muscle strengthening 1313School-age appropriate to age and enjoyable variety1313Preschool variety of active play throughout the day1313Source httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf1313So we know the guidelines for PA now13

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 27: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Work on all strategies at once

Presenter
Presentation Notes
Our program WIC ABC many hospitals and ABI and partners are working on all 9 of CDC Guide to Strategies to Support Breastfeeding Mothers and Babies 1313That last one ldquoaddressing marketing of infant formulardquo is part of the 1313Strategy 9 is referred to you make hear it called the International Code of Marketing of Breast-milk Substitutes which means 13httpswwwcdcgovbreastfeedingpdfBF_guide_7pdf1313httpswwwcdcgovbreastfeedingpdfBF_guide_7pdf1313The International Code recommends 13No advertising of breast-milk substitutes directly to the public 13No free samples to mothers 13No promotion of products in health care facilities 13No commercial product representatives to advise mothers 13No gifts or personal samples to health workers 13No words or pictures idealizing artificial feeding including pictures of infants on the products 1313The International Code also states 13Information to health workers should be scientific and factual 13All information on artificial feeding including the labels should explain the benefits of breastfeeding and the costs and hazards associated with artificial feeding 13Unsuitable products such as condensed milk should not be promoted for babies 13All products should be of a high quality and take into account the climatic and storage conditions of the country where they are used 13131313

2019 Alaska Baby Friendly Hospitals

Over the Last 5 Years (2014-2019)

20 of all births will occur in baby friendly hospitalsbull Representing 55 of Alaska Natives

Source 2019 Alaska HAVRS (Number of births Alaska Native births)

Presenter
Presentation Notes
The baby friendly hospital initiative is a global program sponsored by the WHO and United Nations Childrens Fund (UNICEF) to encourage and recognize hospitals and birth centers that offer an optimal level of care for lactation based on the TEN STEPS to Successful Breastfeeding and the International Code of Marketing of Breast-milk substitutes1313Source Baby Friendly USA Baby Friendly Hospitals and Birth Centers designated as of June 2018 Available at httpwwwbabyfriendlyusaorg13 Baby Friendly USA reviewed policies and reviewed all criteria to get he designating as baby friendly Many hospitals implement the 10 steps without official baby friendly designation

How you can support breastfeeding

bull Prenatal breastfeeding education

bull Maternity centers show mothers how to breastfeed-early and often

bull Support after hospital discharge

Presenter
Presentation Notes
Remember the goal here is to concentrate on the steps that have the most evidence1313Ask for or help develop opportunities for prenatal breastfeeding education1313Maternity centers can show mothers how to breastfeed early and often Skin to skin without 30 minutes to 1 hour (vag) 30 min to 2 hours for c sect1313Support mothers and babies after discharge through peer support program breast feeding programs at early child education centers and support in workplace

Breastfeeding Improves Nutrition and is an Investment In Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to write down any questions you may have about Breast Feeding Initiative or breastfeeding in general while you listen to my friend and colleague Lori talk about how food service guidelines improve nutrition and is an investment in health

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Discuss lifespan of how we work with infants preschool school age and adults 13

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Dawn ldquoNow Irsquom going to let my friend and colleague Loti show you how food service guidelines improves nutrition and is an investment in health ldquo13____________________________________________________________________________________________________________________________________________________________________________13Lori Thank you Dawn for setting the stage 13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Donuts on the counterbull Chocolate or candy from your snack drawerbull Food from the vending machinebull Walk to the cafeteria or store for a healthy option

Itrsquos 3pm you worked through lunch and your belly is growling

Food Service Guidelines

Presenter
Presentation Notes
What we eat and drink impacts our health but we tend to eat whatrsquos readily available 1313Food Service Guidelines represent a voluntary set of best business practices that ensure safe healthy food options are available13The availability of healthy affordable foods contributes to a personrsquos diet and risk of diet-related chronic diseases13Fewer than 1 in 10 adults eat the recommended daily amount of fruits and vegetables1313What we eat and drink impacts our health but we tend to eat whatrsquos readily available 13The average American consuming more than one-third of their calories through foods prepared away from home organizations across Alaska and the country are realizing that the foods and beverages they offer at their work sites provide a significant opportunity to promote and improve employee health13Making healthier food and beverages available in public places lets families employees patients and children 13Eat healthy13Helps prevent weight gain and diseases like type 2 diabetes cancer and heart disease13

Food Service Guidelines

Goalsbull Healthier foods and

beverages bull Support local food

sourcing

Presenter
Presentation Notes
Healthier food and beverages available (cafeterias workplace coffee shops schools etc1313Local Food Sourcing includes farmers markets including at your work site mom and pop stores cars microgreens from Talkeetna that deliver to Anchorage seafood at farmers markets 1313Example Farm to table with our local farmers market in anchorage brought local chickens from homer to anchorage Previously available only sold to grocery stores and now available to direct consumers

Healthy Food Initiative

bull Established partnership with Alaska Native Tribal Health Consortium (ANTHC)bull Campus Healthy Food Project (CHeF)

bull Vending bull Coffee Cartsbull Cafeteriasbull Mini-Stores

Presenter
Presentation Notes
talk about ANTHC includes SCF and ANMC when the term campus is used give examples of food service facilities (vending coffee carts cafeterias mini-stores give counts for the campus talk about why this is a good location worksite lots of visitors of workers potentially impacted and visitor if you know those

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Presenter
Presentation Notes
I am going to walk through different examples of this wheel showing how Food Services Guidelines are developed and implemented For example understanding and knowing your leadership

Engage Stakeholders and Partners

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Community Support

Positive Responses ldquoThey taste greatrdquoldquoI like to feel energizedrdquo ldquoIt makes me feel more productive at workrdquo

bull Employees feel supportedbull Encouraged to take better

care of themselves bull Appreciate having healthy

options

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Food and Beverage Assessment

Examples include bull Fruit and Vegetablesbull Grainsbull Dairybull Beveragesbull Nutritional Labeling

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Update Food and Beverage Policy

bull Traditional Foods introduced into hospitals

bull Soda free Campus

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Review Purchasing and Agreement

Process for purchasing agreements

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Communication Strategies

Healthy Food Choices

Benefitsbull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancers

Source Dietary Guidelines for Americans 2015-2020 Eight Edition (pg 17)

Presenter
Presentation Notes
httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Fruit on the counterbull Nuts from your snack drawerbull Healthy Food from the vending machinebull Drive your car to the closest fast food joint

Itrsquos 3pm you worked through lunch and your belly is growling

Presenter
Presentation Notes
Making the healthy choice the easy choice

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to save any questions you may have while you listen to my friend and colleague Dawn talk about how active transportation improves physical activity and is an investment in health 13

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Active Transportation is a strategy to increase physical activity and works across the lifespan Think of strollering baby to a park walking child to day care school or the rest of us using active transportation to walk bike or bus to any destination we desire

Active Transportation Improves Physical Activity and is

an Investment in Health

Presenter
Presentation Notes
Imagine how much PA you would each tally if everyday you had a activity friendly route (safe route to walk your kids to school use transit carpool bike to meet friends at a restaurant grab groceries or arrive work Of course this would mean you would get more physical activity

Safer and Healthier Streets for EVERYONE

Active Transportation Initiative

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

2018 Physical Activity Guidelines

Adultsbull 150 minutes moderate

intensity per week

School-agebull 60 minutes or more every

day

Preschool bull Active throughout the day

httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf

Presenter
Presentation Notes
The Physical Activity Guidelines for Americans is issues by the US Dept of Health and Human Services The primary audience is policy makers and health professionals though it may also be interesting to members of the public The main ide behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits 1313Key Guidelines1313Adults should move more and sit less throughout the day Some physical activity is better than none 22 minutes or more every day combination of moderate and vigorous intensity with 2 or more days a week of muscle strengthening 1313School-age appropriate to age and enjoyable variety1313Preschool variety of active play throughout the day1313Source httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf1313So we know the guidelines for PA now13

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 28: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

2019 Alaska Baby Friendly Hospitals

Over the Last 5 Years (2014-2019)

20 of all births will occur in baby friendly hospitalsbull Representing 55 of Alaska Natives

Source 2019 Alaska HAVRS (Number of births Alaska Native births)

Presenter
Presentation Notes
The baby friendly hospital initiative is a global program sponsored by the WHO and United Nations Childrens Fund (UNICEF) to encourage and recognize hospitals and birth centers that offer an optimal level of care for lactation based on the TEN STEPS to Successful Breastfeeding and the International Code of Marketing of Breast-milk substitutes1313Source Baby Friendly USA Baby Friendly Hospitals and Birth Centers designated as of June 2018 Available at httpwwwbabyfriendlyusaorg13 Baby Friendly USA reviewed policies and reviewed all criteria to get he designating as baby friendly Many hospitals implement the 10 steps without official baby friendly designation

How you can support breastfeeding

bull Prenatal breastfeeding education

bull Maternity centers show mothers how to breastfeed-early and often

bull Support after hospital discharge

Presenter
Presentation Notes
Remember the goal here is to concentrate on the steps that have the most evidence1313Ask for or help develop opportunities for prenatal breastfeeding education1313Maternity centers can show mothers how to breastfeed early and often Skin to skin without 30 minutes to 1 hour (vag) 30 min to 2 hours for c sect1313Support mothers and babies after discharge through peer support program breast feeding programs at early child education centers and support in workplace

Breastfeeding Improves Nutrition and is an Investment In Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to write down any questions you may have about Breast Feeding Initiative or breastfeeding in general while you listen to my friend and colleague Lori talk about how food service guidelines improve nutrition and is an investment in health

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Discuss lifespan of how we work with infants preschool school age and adults 13

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Dawn ldquoNow Irsquom going to let my friend and colleague Loti show you how food service guidelines improves nutrition and is an investment in health ldquo13____________________________________________________________________________________________________________________________________________________________________________13Lori Thank you Dawn for setting the stage 13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Donuts on the counterbull Chocolate or candy from your snack drawerbull Food from the vending machinebull Walk to the cafeteria or store for a healthy option

Itrsquos 3pm you worked through lunch and your belly is growling

Food Service Guidelines

Presenter
Presentation Notes
What we eat and drink impacts our health but we tend to eat whatrsquos readily available 1313Food Service Guidelines represent a voluntary set of best business practices that ensure safe healthy food options are available13The availability of healthy affordable foods contributes to a personrsquos diet and risk of diet-related chronic diseases13Fewer than 1 in 10 adults eat the recommended daily amount of fruits and vegetables1313What we eat and drink impacts our health but we tend to eat whatrsquos readily available 13The average American consuming more than one-third of their calories through foods prepared away from home organizations across Alaska and the country are realizing that the foods and beverages they offer at their work sites provide a significant opportunity to promote and improve employee health13Making healthier food and beverages available in public places lets families employees patients and children 13Eat healthy13Helps prevent weight gain and diseases like type 2 diabetes cancer and heart disease13

Food Service Guidelines

Goalsbull Healthier foods and

beverages bull Support local food

sourcing

Presenter
Presentation Notes
Healthier food and beverages available (cafeterias workplace coffee shops schools etc1313Local Food Sourcing includes farmers markets including at your work site mom and pop stores cars microgreens from Talkeetna that deliver to Anchorage seafood at farmers markets 1313Example Farm to table with our local farmers market in anchorage brought local chickens from homer to anchorage Previously available only sold to grocery stores and now available to direct consumers

Healthy Food Initiative

bull Established partnership with Alaska Native Tribal Health Consortium (ANTHC)bull Campus Healthy Food Project (CHeF)

bull Vending bull Coffee Cartsbull Cafeteriasbull Mini-Stores

Presenter
Presentation Notes
talk about ANTHC includes SCF and ANMC when the term campus is used give examples of food service facilities (vending coffee carts cafeterias mini-stores give counts for the campus talk about why this is a good location worksite lots of visitors of workers potentially impacted and visitor if you know those

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Presenter
Presentation Notes
I am going to walk through different examples of this wheel showing how Food Services Guidelines are developed and implemented For example understanding and knowing your leadership

Engage Stakeholders and Partners

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Community Support

Positive Responses ldquoThey taste greatrdquoldquoI like to feel energizedrdquo ldquoIt makes me feel more productive at workrdquo

bull Employees feel supportedbull Encouraged to take better

care of themselves bull Appreciate having healthy

options

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Food and Beverage Assessment

Examples include bull Fruit and Vegetablesbull Grainsbull Dairybull Beveragesbull Nutritional Labeling

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Update Food and Beverage Policy

bull Traditional Foods introduced into hospitals

bull Soda free Campus

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Review Purchasing and Agreement

Process for purchasing agreements

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Communication Strategies

Healthy Food Choices

Benefitsbull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancers

Source Dietary Guidelines for Americans 2015-2020 Eight Edition (pg 17)

Presenter
Presentation Notes
httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Fruit on the counterbull Nuts from your snack drawerbull Healthy Food from the vending machinebull Drive your car to the closest fast food joint

Itrsquos 3pm you worked through lunch and your belly is growling

Presenter
Presentation Notes
Making the healthy choice the easy choice

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to save any questions you may have while you listen to my friend and colleague Dawn talk about how active transportation improves physical activity and is an investment in health 13

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Active Transportation is a strategy to increase physical activity and works across the lifespan Think of strollering baby to a park walking child to day care school or the rest of us using active transportation to walk bike or bus to any destination we desire

Active Transportation Improves Physical Activity and is

an Investment in Health

Presenter
Presentation Notes
Imagine how much PA you would each tally if everyday you had a activity friendly route (safe route to walk your kids to school use transit carpool bike to meet friends at a restaurant grab groceries or arrive work Of course this would mean you would get more physical activity

Safer and Healthier Streets for EVERYONE

Active Transportation Initiative

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

2018 Physical Activity Guidelines

Adultsbull 150 minutes moderate

intensity per week

School-agebull 60 minutes or more every

day

Preschool bull Active throughout the day

httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf

Presenter
Presentation Notes
The Physical Activity Guidelines for Americans is issues by the US Dept of Health and Human Services The primary audience is policy makers and health professionals though it may also be interesting to members of the public The main ide behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits 1313Key Guidelines1313Adults should move more and sit less throughout the day Some physical activity is better than none 22 minutes or more every day combination of moderate and vigorous intensity with 2 or more days a week of muscle strengthening 1313School-age appropriate to age and enjoyable variety1313Preschool variety of active play throughout the day1313Source httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf1313So we know the guidelines for PA now13

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 29: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

How you can support breastfeeding

bull Prenatal breastfeeding education

bull Maternity centers show mothers how to breastfeed-early and often

bull Support after hospital discharge

Presenter
Presentation Notes
Remember the goal here is to concentrate on the steps that have the most evidence1313Ask for or help develop opportunities for prenatal breastfeeding education1313Maternity centers can show mothers how to breastfeed early and often Skin to skin without 30 minutes to 1 hour (vag) 30 min to 2 hours for c sect1313Support mothers and babies after discharge through peer support program breast feeding programs at early child education centers and support in workplace

Breastfeeding Improves Nutrition and is an Investment In Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to write down any questions you may have about Breast Feeding Initiative or breastfeeding in general while you listen to my friend and colleague Lori talk about how food service guidelines improve nutrition and is an investment in health

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Discuss lifespan of how we work with infants preschool school age and adults 13

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Dawn ldquoNow Irsquom going to let my friend and colleague Loti show you how food service guidelines improves nutrition and is an investment in health ldquo13____________________________________________________________________________________________________________________________________________________________________________13Lori Thank you Dawn for setting the stage 13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Donuts on the counterbull Chocolate or candy from your snack drawerbull Food from the vending machinebull Walk to the cafeteria or store for a healthy option

Itrsquos 3pm you worked through lunch and your belly is growling

Food Service Guidelines

Presenter
Presentation Notes
What we eat and drink impacts our health but we tend to eat whatrsquos readily available 1313Food Service Guidelines represent a voluntary set of best business practices that ensure safe healthy food options are available13The availability of healthy affordable foods contributes to a personrsquos diet and risk of diet-related chronic diseases13Fewer than 1 in 10 adults eat the recommended daily amount of fruits and vegetables1313What we eat and drink impacts our health but we tend to eat whatrsquos readily available 13The average American consuming more than one-third of their calories through foods prepared away from home organizations across Alaska and the country are realizing that the foods and beverages they offer at their work sites provide a significant opportunity to promote and improve employee health13Making healthier food and beverages available in public places lets families employees patients and children 13Eat healthy13Helps prevent weight gain and diseases like type 2 diabetes cancer and heart disease13

Food Service Guidelines

Goalsbull Healthier foods and

beverages bull Support local food

sourcing

Presenter
Presentation Notes
Healthier food and beverages available (cafeterias workplace coffee shops schools etc1313Local Food Sourcing includes farmers markets including at your work site mom and pop stores cars microgreens from Talkeetna that deliver to Anchorage seafood at farmers markets 1313Example Farm to table with our local farmers market in anchorage brought local chickens from homer to anchorage Previously available only sold to grocery stores and now available to direct consumers

Healthy Food Initiative

bull Established partnership with Alaska Native Tribal Health Consortium (ANTHC)bull Campus Healthy Food Project (CHeF)

bull Vending bull Coffee Cartsbull Cafeteriasbull Mini-Stores

Presenter
Presentation Notes
talk about ANTHC includes SCF and ANMC when the term campus is used give examples of food service facilities (vending coffee carts cafeterias mini-stores give counts for the campus talk about why this is a good location worksite lots of visitors of workers potentially impacted and visitor if you know those

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Presenter
Presentation Notes
I am going to walk through different examples of this wheel showing how Food Services Guidelines are developed and implemented For example understanding and knowing your leadership

Engage Stakeholders and Partners

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Community Support

Positive Responses ldquoThey taste greatrdquoldquoI like to feel energizedrdquo ldquoIt makes me feel more productive at workrdquo

bull Employees feel supportedbull Encouraged to take better

care of themselves bull Appreciate having healthy

options

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Food and Beverage Assessment

Examples include bull Fruit and Vegetablesbull Grainsbull Dairybull Beveragesbull Nutritional Labeling

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Update Food and Beverage Policy

bull Traditional Foods introduced into hospitals

bull Soda free Campus

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Review Purchasing and Agreement

Process for purchasing agreements

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Communication Strategies

Healthy Food Choices

Benefitsbull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancers

Source Dietary Guidelines for Americans 2015-2020 Eight Edition (pg 17)

Presenter
Presentation Notes
httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Fruit on the counterbull Nuts from your snack drawerbull Healthy Food from the vending machinebull Drive your car to the closest fast food joint

Itrsquos 3pm you worked through lunch and your belly is growling

Presenter
Presentation Notes
Making the healthy choice the easy choice

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to save any questions you may have while you listen to my friend and colleague Dawn talk about how active transportation improves physical activity and is an investment in health 13

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Active Transportation is a strategy to increase physical activity and works across the lifespan Think of strollering baby to a park walking child to day care school or the rest of us using active transportation to walk bike or bus to any destination we desire

Active Transportation Improves Physical Activity and is

an Investment in Health

Presenter
Presentation Notes
Imagine how much PA you would each tally if everyday you had a activity friendly route (safe route to walk your kids to school use transit carpool bike to meet friends at a restaurant grab groceries or arrive work Of course this would mean you would get more physical activity

Safer and Healthier Streets for EVERYONE

Active Transportation Initiative

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

2018 Physical Activity Guidelines

Adultsbull 150 minutes moderate

intensity per week

School-agebull 60 minutes or more every

day

Preschool bull Active throughout the day

httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf

Presenter
Presentation Notes
The Physical Activity Guidelines for Americans is issues by the US Dept of Health and Human Services The primary audience is policy makers and health professionals though it may also be interesting to members of the public The main ide behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits 1313Key Guidelines1313Adults should move more and sit less throughout the day Some physical activity is better than none 22 minutes or more every day combination of moderate and vigorous intensity with 2 or more days a week of muscle strengthening 1313School-age appropriate to age and enjoyable variety1313Preschool variety of active play throughout the day1313Source httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf1313So we know the guidelines for PA now13

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 30: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Breastfeeding Improves Nutrition and is an Investment In Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to write down any questions you may have about Breast Feeding Initiative or breastfeeding in general while you listen to my friend and colleague Lori talk about how food service guidelines improve nutrition and is an investment in health

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Discuss lifespan of how we work with infants preschool school age and adults 13

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Dawn ldquoNow Irsquom going to let my friend and colleague Loti show you how food service guidelines improves nutrition and is an investment in health ldquo13____________________________________________________________________________________________________________________________________________________________________________13Lori Thank you Dawn for setting the stage 13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Donuts on the counterbull Chocolate or candy from your snack drawerbull Food from the vending machinebull Walk to the cafeteria or store for a healthy option

Itrsquos 3pm you worked through lunch and your belly is growling

Food Service Guidelines

Presenter
Presentation Notes
What we eat and drink impacts our health but we tend to eat whatrsquos readily available 1313Food Service Guidelines represent a voluntary set of best business practices that ensure safe healthy food options are available13The availability of healthy affordable foods contributes to a personrsquos diet and risk of diet-related chronic diseases13Fewer than 1 in 10 adults eat the recommended daily amount of fruits and vegetables1313What we eat and drink impacts our health but we tend to eat whatrsquos readily available 13The average American consuming more than one-third of their calories through foods prepared away from home organizations across Alaska and the country are realizing that the foods and beverages they offer at their work sites provide a significant opportunity to promote and improve employee health13Making healthier food and beverages available in public places lets families employees patients and children 13Eat healthy13Helps prevent weight gain and diseases like type 2 diabetes cancer and heart disease13

Food Service Guidelines

Goalsbull Healthier foods and

beverages bull Support local food

sourcing

Presenter
Presentation Notes
Healthier food and beverages available (cafeterias workplace coffee shops schools etc1313Local Food Sourcing includes farmers markets including at your work site mom and pop stores cars microgreens from Talkeetna that deliver to Anchorage seafood at farmers markets 1313Example Farm to table with our local farmers market in anchorage brought local chickens from homer to anchorage Previously available only sold to grocery stores and now available to direct consumers

Healthy Food Initiative

bull Established partnership with Alaska Native Tribal Health Consortium (ANTHC)bull Campus Healthy Food Project (CHeF)

bull Vending bull Coffee Cartsbull Cafeteriasbull Mini-Stores

Presenter
Presentation Notes
talk about ANTHC includes SCF and ANMC when the term campus is used give examples of food service facilities (vending coffee carts cafeterias mini-stores give counts for the campus talk about why this is a good location worksite lots of visitors of workers potentially impacted and visitor if you know those

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Presenter
Presentation Notes
I am going to walk through different examples of this wheel showing how Food Services Guidelines are developed and implemented For example understanding and knowing your leadership

Engage Stakeholders and Partners

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Community Support

Positive Responses ldquoThey taste greatrdquoldquoI like to feel energizedrdquo ldquoIt makes me feel more productive at workrdquo

bull Employees feel supportedbull Encouraged to take better

care of themselves bull Appreciate having healthy

options

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Food and Beverage Assessment

Examples include bull Fruit and Vegetablesbull Grainsbull Dairybull Beveragesbull Nutritional Labeling

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Update Food and Beverage Policy

bull Traditional Foods introduced into hospitals

bull Soda free Campus

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Review Purchasing and Agreement

Process for purchasing agreements

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Communication Strategies

Healthy Food Choices

Benefitsbull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancers

Source Dietary Guidelines for Americans 2015-2020 Eight Edition (pg 17)

Presenter
Presentation Notes
httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Fruit on the counterbull Nuts from your snack drawerbull Healthy Food from the vending machinebull Drive your car to the closest fast food joint

Itrsquos 3pm you worked through lunch and your belly is growling

Presenter
Presentation Notes
Making the healthy choice the easy choice

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to save any questions you may have while you listen to my friend and colleague Dawn talk about how active transportation improves physical activity and is an investment in health 13

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Active Transportation is a strategy to increase physical activity and works across the lifespan Think of strollering baby to a park walking child to day care school or the rest of us using active transportation to walk bike or bus to any destination we desire

Active Transportation Improves Physical Activity and is

an Investment in Health

Presenter
Presentation Notes
Imagine how much PA you would each tally if everyday you had a activity friendly route (safe route to walk your kids to school use transit carpool bike to meet friends at a restaurant grab groceries or arrive work Of course this would mean you would get more physical activity

Safer and Healthier Streets for EVERYONE

Active Transportation Initiative

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

2018 Physical Activity Guidelines

Adultsbull 150 minutes moderate

intensity per week

School-agebull 60 minutes or more every

day

Preschool bull Active throughout the day

httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf

Presenter
Presentation Notes
The Physical Activity Guidelines for Americans is issues by the US Dept of Health and Human Services The primary audience is policy makers and health professionals though it may also be interesting to members of the public The main ide behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits 1313Key Guidelines1313Adults should move more and sit less throughout the day Some physical activity is better than none 22 minutes or more every day combination of moderate and vigorous intensity with 2 or more days a week of muscle strengthening 1313School-age appropriate to age and enjoyable variety1313Preschool variety of active play throughout the day1313Source httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf1313So we know the guidelines for PA now13

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 31: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Discuss lifespan of how we work with infants preschool school age and adults 13

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Dawn ldquoNow Irsquom going to let my friend and colleague Loti show you how food service guidelines improves nutrition and is an investment in health ldquo13____________________________________________________________________________________________________________________________________________________________________________13Lori Thank you Dawn for setting the stage 13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Donuts on the counterbull Chocolate or candy from your snack drawerbull Food from the vending machinebull Walk to the cafeteria or store for a healthy option

Itrsquos 3pm you worked through lunch and your belly is growling

Food Service Guidelines

Presenter
Presentation Notes
What we eat and drink impacts our health but we tend to eat whatrsquos readily available 1313Food Service Guidelines represent a voluntary set of best business practices that ensure safe healthy food options are available13The availability of healthy affordable foods contributes to a personrsquos diet and risk of diet-related chronic diseases13Fewer than 1 in 10 adults eat the recommended daily amount of fruits and vegetables1313What we eat and drink impacts our health but we tend to eat whatrsquos readily available 13The average American consuming more than one-third of their calories through foods prepared away from home organizations across Alaska and the country are realizing that the foods and beverages they offer at their work sites provide a significant opportunity to promote and improve employee health13Making healthier food and beverages available in public places lets families employees patients and children 13Eat healthy13Helps prevent weight gain and diseases like type 2 diabetes cancer and heart disease13

Food Service Guidelines

Goalsbull Healthier foods and

beverages bull Support local food

sourcing

Presenter
Presentation Notes
Healthier food and beverages available (cafeterias workplace coffee shops schools etc1313Local Food Sourcing includes farmers markets including at your work site mom and pop stores cars microgreens from Talkeetna that deliver to Anchorage seafood at farmers markets 1313Example Farm to table with our local farmers market in anchorage brought local chickens from homer to anchorage Previously available only sold to grocery stores and now available to direct consumers

Healthy Food Initiative

bull Established partnership with Alaska Native Tribal Health Consortium (ANTHC)bull Campus Healthy Food Project (CHeF)

bull Vending bull Coffee Cartsbull Cafeteriasbull Mini-Stores

Presenter
Presentation Notes
talk about ANTHC includes SCF and ANMC when the term campus is used give examples of food service facilities (vending coffee carts cafeterias mini-stores give counts for the campus talk about why this is a good location worksite lots of visitors of workers potentially impacted and visitor if you know those

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Presenter
Presentation Notes
I am going to walk through different examples of this wheel showing how Food Services Guidelines are developed and implemented For example understanding and knowing your leadership

Engage Stakeholders and Partners

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Community Support

Positive Responses ldquoThey taste greatrdquoldquoI like to feel energizedrdquo ldquoIt makes me feel more productive at workrdquo

bull Employees feel supportedbull Encouraged to take better

care of themselves bull Appreciate having healthy

options

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Food and Beverage Assessment

Examples include bull Fruit and Vegetablesbull Grainsbull Dairybull Beveragesbull Nutritional Labeling

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Update Food and Beverage Policy

bull Traditional Foods introduced into hospitals

bull Soda free Campus

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Review Purchasing and Agreement

Process for purchasing agreements

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Communication Strategies

Healthy Food Choices

Benefitsbull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancers

Source Dietary Guidelines for Americans 2015-2020 Eight Edition (pg 17)

Presenter
Presentation Notes
httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Fruit on the counterbull Nuts from your snack drawerbull Healthy Food from the vending machinebull Drive your car to the closest fast food joint

Itrsquos 3pm you worked through lunch and your belly is growling

Presenter
Presentation Notes
Making the healthy choice the easy choice

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to save any questions you may have while you listen to my friend and colleague Dawn talk about how active transportation improves physical activity and is an investment in health 13

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Active Transportation is a strategy to increase physical activity and works across the lifespan Think of strollering baby to a park walking child to day care school or the rest of us using active transportation to walk bike or bus to any destination we desire

Active Transportation Improves Physical Activity and is

an Investment in Health

Presenter
Presentation Notes
Imagine how much PA you would each tally if everyday you had a activity friendly route (safe route to walk your kids to school use transit carpool bike to meet friends at a restaurant grab groceries or arrive work Of course this would mean you would get more physical activity

Safer and Healthier Streets for EVERYONE

Active Transportation Initiative

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

2018 Physical Activity Guidelines

Adultsbull 150 minutes moderate

intensity per week

School-agebull 60 minutes or more every

day

Preschool bull Active throughout the day

httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf

Presenter
Presentation Notes
The Physical Activity Guidelines for Americans is issues by the US Dept of Health and Human Services The primary audience is policy makers and health professionals though it may also be interesting to members of the public The main ide behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits 1313Key Guidelines1313Adults should move more and sit less throughout the day Some physical activity is better than none 22 minutes or more every day combination of moderate and vigorous intensity with 2 or more days a week of muscle strengthening 1313School-age appropriate to age and enjoyable variety1313Preschool variety of active play throughout the day1313Source httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf1313So we know the guidelines for PA now13

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 32: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Dawn ldquoNow Irsquom going to let my friend and colleague Loti show you how food service guidelines improves nutrition and is an investment in health ldquo13____________________________________________________________________________________________________________________________________________________________________________13Lori Thank you Dawn for setting the stage 13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Donuts on the counterbull Chocolate or candy from your snack drawerbull Food from the vending machinebull Walk to the cafeteria or store for a healthy option

Itrsquos 3pm you worked through lunch and your belly is growling

Food Service Guidelines

Presenter
Presentation Notes
What we eat and drink impacts our health but we tend to eat whatrsquos readily available 1313Food Service Guidelines represent a voluntary set of best business practices that ensure safe healthy food options are available13The availability of healthy affordable foods contributes to a personrsquos diet and risk of diet-related chronic diseases13Fewer than 1 in 10 adults eat the recommended daily amount of fruits and vegetables1313What we eat and drink impacts our health but we tend to eat whatrsquos readily available 13The average American consuming more than one-third of their calories through foods prepared away from home organizations across Alaska and the country are realizing that the foods and beverages they offer at their work sites provide a significant opportunity to promote and improve employee health13Making healthier food and beverages available in public places lets families employees patients and children 13Eat healthy13Helps prevent weight gain and diseases like type 2 diabetes cancer and heart disease13

Food Service Guidelines

Goalsbull Healthier foods and

beverages bull Support local food

sourcing

Presenter
Presentation Notes
Healthier food and beverages available (cafeterias workplace coffee shops schools etc1313Local Food Sourcing includes farmers markets including at your work site mom and pop stores cars microgreens from Talkeetna that deliver to Anchorage seafood at farmers markets 1313Example Farm to table with our local farmers market in anchorage brought local chickens from homer to anchorage Previously available only sold to grocery stores and now available to direct consumers

Healthy Food Initiative

bull Established partnership with Alaska Native Tribal Health Consortium (ANTHC)bull Campus Healthy Food Project (CHeF)

bull Vending bull Coffee Cartsbull Cafeteriasbull Mini-Stores

Presenter
Presentation Notes
talk about ANTHC includes SCF and ANMC when the term campus is used give examples of food service facilities (vending coffee carts cafeterias mini-stores give counts for the campus talk about why this is a good location worksite lots of visitors of workers potentially impacted and visitor if you know those

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Presenter
Presentation Notes
I am going to walk through different examples of this wheel showing how Food Services Guidelines are developed and implemented For example understanding and knowing your leadership

Engage Stakeholders and Partners

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Community Support

Positive Responses ldquoThey taste greatrdquoldquoI like to feel energizedrdquo ldquoIt makes me feel more productive at workrdquo

bull Employees feel supportedbull Encouraged to take better

care of themselves bull Appreciate having healthy

options

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Food and Beverage Assessment

Examples include bull Fruit and Vegetablesbull Grainsbull Dairybull Beveragesbull Nutritional Labeling

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Update Food and Beverage Policy

bull Traditional Foods introduced into hospitals

bull Soda free Campus

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Review Purchasing and Agreement

Process for purchasing agreements

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Communication Strategies

Healthy Food Choices

Benefitsbull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancers

Source Dietary Guidelines for Americans 2015-2020 Eight Edition (pg 17)

Presenter
Presentation Notes
httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Fruit on the counterbull Nuts from your snack drawerbull Healthy Food from the vending machinebull Drive your car to the closest fast food joint

Itrsquos 3pm you worked through lunch and your belly is growling

Presenter
Presentation Notes
Making the healthy choice the easy choice

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to save any questions you may have while you listen to my friend and colleague Dawn talk about how active transportation improves physical activity and is an investment in health 13

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Active Transportation is a strategy to increase physical activity and works across the lifespan Think of strollering baby to a park walking child to day care school or the rest of us using active transportation to walk bike or bus to any destination we desire

Active Transportation Improves Physical Activity and is

an Investment in Health

Presenter
Presentation Notes
Imagine how much PA you would each tally if everyday you had a activity friendly route (safe route to walk your kids to school use transit carpool bike to meet friends at a restaurant grab groceries or arrive work Of course this would mean you would get more physical activity

Safer and Healthier Streets for EVERYONE

Active Transportation Initiative

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

2018 Physical Activity Guidelines

Adultsbull 150 minutes moderate

intensity per week

School-agebull 60 minutes or more every

day

Preschool bull Active throughout the day

httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf

Presenter
Presentation Notes
The Physical Activity Guidelines for Americans is issues by the US Dept of Health and Human Services The primary audience is policy makers and health professionals though it may also be interesting to members of the public The main ide behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits 1313Key Guidelines1313Adults should move more and sit less throughout the day Some physical activity is better than none 22 minutes or more every day combination of moderate and vigorous intensity with 2 or more days a week of muscle strengthening 1313School-age appropriate to age and enjoyable variety1313Preschool variety of active play throughout the day1313Source httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf1313So we know the guidelines for PA now13

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 33: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Donuts on the counterbull Chocolate or candy from your snack drawerbull Food from the vending machinebull Walk to the cafeteria or store for a healthy option

Itrsquos 3pm you worked through lunch and your belly is growling

Food Service Guidelines

Presenter
Presentation Notes
What we eat and drink impacts our health but we tend to eat whatrsquos readily available 1313Food Service Guidelines represent a voluntary set of best business practices that ensure safe healthy food options are available13The availability of healthy affordable foods contributes to a personrsquos diet and risk of diet-related chronic diseases13Fewer than 1 in 10 adults eat the recommended daily amount of fruits and vegetables1313What we eat and drink impacts our health but we tend to eat whatrsquos readily available 13The average American consuming more than one-third of their calories through foods prepared away from home organizations across Alaska and the country are realizing that the foods and beverages they offer at their work sites provide a significant opportunity to promote and improve employee health13Making healthier food and beverages available in public places lets families employees patients and children 13Eat healthy13Helps prevent weight gain and diseases like type 2 diabetes cancer and heart disease13

Food Service Guidelines

Goalsbull Healthier foods and

beverages bull Support local food

sourcing

Presenter
Presentation Notes
Healthier food and beverages available (cafeterias workplace coffee shops schools etc1313Local Food Sourcing includes farmers markets including at your work site mom and pop stores cars microgreens from Talkeetna that deliver to Anchorage seafood at farmers markets 1313Example Farm to table with our local farmers market in anchorage brought local chickens from homer to anchorage Previously available only sold to grocery stores and now available to direct consumers

Healthy Food Initiative

bull Established partnership with Alaska Native Tribal Health Consortium (ANTHC)bull Campus Healthy Food Project (CHeF)

bull Vending bull Coffee Cartsbull Cafeteriasbull Mini-Stores

Presenter
Presentation Notes
talk about ANTHC includes SCF and ANMC when the term campus is used give examples of food service facilities (vending coffee carts cafeterias mini-stores give counts for the campus talk about why this is a good location worksite lots of visitors of workers potentially impacted and visitor if you know those

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Presenter
Presentation Notes
I am going to walk through different examples of this wheel showing how Food Services Guidelines are developed and implemented For example understanding and knowing your leadership

Engage Stakeholders and Partners

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Community Support

Positive Responses ldquoThey taste greatrdquoldquoI like to feel energizedrdquo ldquoIt makes me feel more productive at workrdquo

bull Employees feel supportedbull Encouraged to take better

care of themselves bull Appreciate having healthy

options

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Food and Beverage Assessment

Examples include bull Fruit and Vegetablesbull Grainsbull Dairybull Beveragesbull Nutritional Labeling

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Update Food and Beverage Policy

bull Traditional Foods introduced into hospitals

bull Soda free Campus

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Review Purchasing and Agreement

Process for purchasing agreements

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Communication Strategies

Healthy Food Choices

Benefitsbull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancers

Source Dietary Guidelines for Americans 2015-2020 Eight Edition (pg 17)

Presenter
Presentation Notes
httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Fruit on the counterbull Nuts from your snack drawerbull Healthy Food from the vending machinebull Drive your car to the closest fast food joint

Itrsquos 3pm you worked through lunch and your belly is growling

Presenter
Presentation Notes
Making the healthy choice the easy choice

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to save any questions you may have while you listen to my friend and colleague Dawn talk about how active transportation improves physical activity and is an investment in health 13

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Active Transportation is a strategy to increase physical activity and works across the lifespan Think of strollering baby to a park walking child to day care school or the rest of us using active transportation to walk bike or bus to any destination we desire

Active Transportation Improves Physical Activity and is

an Investment in Health

Presenter
Presentation Notes
Imagine how much PA you would each tally if everyday you had a activity friendly route (safe route to walk your kids to school use transit carpool bike to meet friends at a restaurant grab groceries or arrive work Of course this would mean you would get more physical activity

Safer and Healthier Streets for EVERYONE

Active Transportation Initiative

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

2018 Physical Activity Guidelines

Adultsbull 150 minutes moderate

intensity per week

School-agebull 60 minutes or more every

day

Preschool bull Active throughout the day

httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf

Presenter
Presentation Notes
The Physical Activity Guidelines for Americans is issues by the US Dept of Health and Human Services The primary audience is policy makers and health professionals though it may also be interesting to members of the public The main ide behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits 1313Key Guidelines1313Adults should move more and sit less throughout the day Some physical activity is better than none 22 minutes or more every day combination of moderate and vigorous intensity with 2 or more days a week of muscle strengthening 1313School-age appropriate to age and enjoyable variety1313Preschool variety of active play throughout the day1313Source httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf1313So we know the guidelines for PA now13

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 34: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Food Service Guidelines

Presenter
Presentation Notes
What we eat and drink impacts our health but we tend to eat whatrsquos readily available 1313Food Service Guidelines represent a voluntary set of best business practices that ensure safe healthy food options are available13The availability of healthy affordable foods contributes to a personrsquos diet and risk of diet-related chronic diseases13Fewer than 1 in 10 adults eat the recommended daily amount of fruits and vegetables1313What we eat and drink impacts our health but we tend to eat whatrsquos readily available 13The average American consuming more than one-third of their calories through foods prepared away from home organizations across Alaska and the country are realizing that the foods and beverages they offer at their work sites provide a significant opportunity to promote and improve employee health13Making healthier food and beverages available in public places lets families employees patients and children 13Eat healthy13Helps prevent weight gain and diseases like type 2 diabetes cancer and heart disease13

Food Service Guidelines

Goalsbull Healthier foods and

beverages bull Support local food

sourcing

Presenter
Presentation Notes
Healthier food and beverages available (cafeterias workplace coffee shops schools etc1313Local Food Sourcing includes farmers markets including at your work site mom and pop stores cars microgreens from Talkeetna that deliver to Anchorage seafood at farmers markets 1313Example Farm to table with our local farmers market in anchorage brought local chickens from homer to anchorage Previously available only sold to grocery stores and now available to direct consumers

Healthy Food Initiative

bull Established partnership with Alaska Native Tribal Health Consortium (ANTHC)bull Campus Healthy Food Project (CHeF)

bull Vending bull Coffee Cartsbull Cafeteriasbull Mini-Stores

Presenter
Presentation Notes
talk about ANTHC includes SCF and ANMC when the term campus is used give examples of food service facilities (vending coffee carts cafeterias mini-stores give counts for the campus talk about why this is a good location worksite lots of visitors of workers potentially impacted and visitor if you know those

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Presenter
Presentation Notes
I am going to walk through different examples of this wheel showing how Food Services Guidelines are developed and implemented For example understanding and knowing your leadership

Engage Stakeholders and Partners

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Community Support

Positive Responses ldquoThey taste greatrdquoldquoI like to feel energizedrdquo ldquoIt makes me feel more productive at workrdquo

bull Employees feel supportedbull Encouraged to take better

care of themselves bull Appreciate having healthy

options

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Food and Beverage Assessment

Examples include bull Fruit and Vegetablesbull Grainsbull Dairybull Beveragesbull Nutritional Labeling

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Update Food and Beverage Policy

bull Traditional Foods introduced into hospitals

bull Soda free Campus

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Review Purchasing and Agreement

Process for purchasing agreements

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Communication Strategies

Healthy Food Choices

Benefitsbull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancers

Source Dietary Guidelines for Americans 2015-2020 Eight Edition (pg 17)

Presenter
Presentation Notes
httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Fruit on the counterbull Nuts from your snack drawerbull Healthy Food from the vending machinebull Drive your car to the closest fast food joint

Itrsquos 3pm you worked through lunch and your belly is growling

Presenter
Presentation Notes
Making the healthy choice the easy choice

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to save any questions you may have while you listen to my friend and colleague Dawn talk about how active transportation improves physical activity and is an investment in health 13

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Active Transportation is a strategy to increase physical activity and works across the lifespan Think of strollering baby to a park walking child to day care school or the rest of us using active transportation to walk bike or bus to any destination we desire

Active Transportation Improves Physical Activity and is

an Investment in Health

Presenter
Presentation Notes
Imagine how much PA you would each tally if everyday you had a activity friendly route (safe route to walk your kids to school use transit carpool bike to meet friends at a restaurant grab groceries or arrive work Of course this would mean you would get more physical activity

Safer and Healthier Streets for EVERYONE

Active Transportation Initiative

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

2018 Physical Activity Guidelines

Adultsbull 150 minutes moderate

intensity per week

School-agebull 60 minutes or more every

day

Preschool bull Active throughout the day

httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf

Presenter
Presentation Notes
The Physical Activity Guidelines for Americans is issues by the US Dept of Health and Human Services The primary audience is policy makers and health professionals though it may also be interesting to members of the public The main ide behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits 1313Key Guidelines1313Adults should move more and sit less throughout the day Some physical activity is better than none 22 minutes or more every day combination of moderate and vigorous intensity with 2 or more days a week of muscle strengthening 1313School-age appropriate to age and enjoyable variety1313Preschool variety of active play throughout the day1313Source httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf1313So we know the guidelines for PA now13

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 35: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Food Service Guidelines

Goalsbull Healthier foods and

beverages bull Support local food

sourcing

Presenter
Presentation Notes
Healthier food and beverages available (cafeterias workplace coffee shops schools etc1313Local Food Sourcing includes farmers markets including at your work site mom and pop stores cars microgreens from Talkeetna that deliver to Anchorage seafood at farmers markets 1313Example Farm to table with our local farmers market in anchorage brought local chickens from homer to anchorage Previously available only sold to grocery stores and now available to direct consumers

Healthy Food Initiative

bull Established partnership with Alaska Native Tribal Health Consortium (ANTHC)bull Campus Healthy Food Project (CHeF)

bull Vending bull Coffee Cartsbull Cafeteriasbull Mini-Stores

Presenter
Presentation Notes
talk about ANTHC includes SCF and ANMC when the term campus is used give examples of food service facilities (vending coffee carts cafeterias mini-stores give counts for the campus talk about why this is a good location worksite lots of visitors of workers potentially impacted and visitor if you know those

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Presenter
Presentation Notes
I am going to walk through different examples of this wheel showing how Food Services Guidelines are developed and implemented For example understanding and knowing your leadership

Engage Stakeholders and Partners

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Community Support

Positive Responses ldquoThey taste greatrdquoldquoI like to feel energizedrdquo ldquoIt makes me feel more productive at workrdquo

bull Employees feel supportedbull Encouraged to take better

care of themselves bull Appreciate having healthy

options

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Food and Beverage Assessment

Examples include bull Fruit and Vegetablesbull Grainsbull Dairybull Beveragesbull Nutritional Labeling

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Update Food and Beverage Policy

bull Traditional Foods introduced into hospitals

bull Soda free Campus

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Review Purchasing and Agreement

Process for purchasing agreements

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Communication Strategies

Healthy Food Choices

Benefitsbull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancers

Source Dietary Guidelines for Americans 2015-2020 Eight Edition (pg 17)

Presenter
Presentation Notes
httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Fruit on the counterbull Nuts from your snack drawerbull Healthy Food from the vending machinebull Drive your car to the closest fast food joint

Itrsquos 3pm you worked through lunch and your belly is growling

Presenter
Presentation Notes
Making the healthy choice the easy choice

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to save any questions you may have while you listen to my friend and colleague Dawn talk about how active transportation improves physical activity and is an investment in health 13

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Active Transportation is a strategy to increase physical activity and works across the lifespan Think of strollering baby to a park walking child to day care school or the rest of us using active transportation to walk bike or bus to any destination we desire

Active Transportation Improves Physical Activity and is

an Investment in Health

Presenter
Presentation Notes
Imagine how much PA you would each tally if everyday you had a activity friendly route (safe route to walk your kids to school use transit carpool bike to meet friends at a restaurant grab groceries or arrive work Of course this would mean you would get more physical activity

Safer and Healthier Streets for EVERYONE

Active Transportation Initiative

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

2018 Physical Activity Guidelines

Adultsbull 150 minutes moderate

intensity per week

School-agebull 60 minutes or more every

day

Preschool bull Active throughout the day

httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf

Presenter
Presentation Notes
The Physical Activity Guidelines for Americans is issues by the US Dept of Health and Human Services The primary audience is policy makers and health professionals though it may also be interesting to members of the public The main ide behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits 1313Key Guidelines1313Adults should move more and sit less throughout the day Some physical activity is better than none 22 minutes or more every day combination of moderate and vigorous intensity with 2 or more days a week of muscle strengthening 1313School-age appropriate to age and enjoyable variety1313Preschool variety of active play throughout the day1313Source httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf1313So we know the guidelines for PA now13

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 36: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Healthy Food Initiative

bull Established partnership with Alaska Native Tribal Health Consortium (ANTHC)bull Campus Healthy Food Project (CHeF)

bull Vending bull Coffee Cartsbull Cafeteriasbull Mini-Stores

Presenter
Presentation Notes
talk about ANTHC includes SCF and ANMC when the term campus is used give examples of food service facilities (vending coffee carts cafeterias mini-stores give counts for the campus talk about why this is a good location worksite lots of visitors of workers potentially impacted and visitor if you know those

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Presenter
Presentation Notes
I am going to walk through different examples of this wheel showing how Food Services Guidelines are developed and implemented For example understanding and knowing your leadership

Engage Stakeholders and Partners

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Community Support

Positive Responses ldquoThey taste greatrdquoldquoI like to feel energizedrdquo ldquoIt makes me feel more productive at workrdquo

bull Employees feel supportedbull Encouraged to take better

care of themselves bull Appreciate having healthy

options

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Food and Beverage Assessment

Examples include bull Fruit and Vegetablesbull Grainsbull Dairybull Beveragesbull Nutritional Labeling

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Update Food and Beverage Policy

bull Traditional Foods introduced into hospitals

bull Soda free Campus

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Review Purchasing and Agreement

Process for purchasing agreements

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Communication Strategies

Healthy Food Choices

Benefitsbull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancers

Source Dietary Guidelines for Americans 2015-2020 Eight Edition (pg 17)

Presenter
Presentation Notes
httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Fruit on the counterbull Nuts from your snack drawerbull Healthy Food from the vending machinebull Drive your car to the closest fast food joint

Itrsquos 3pm you worked through lunch and your belly is growling

Presenter
Presentation Notes
Making the healthy choice the easy choice

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to save any questions you may have while you listen to my friend and colleague Dawn talk about how active transportation improves physical activity and is an investment in health 13

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Active Transportation is a strategy to increase physical activity and works across the lifespan Think of strollering baby to a park walking child to day care school or the rest of us using active transportation to walk bike or bus to any destination we desire

Active Transportation Improves Physical Activity and is

an Investment in Health

Presenter
Presentation Notes
Imagine how much PA you would each tally if everyday you had a activity friendly route (safe route to walk your kids to school use transit carpool bike to meet friends at a restaurant grab groceries or arrive work Of course this would mean you would get more physical activity

Safer and Healthier Streets for EVERYONE

Active Transportation Initiative

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

2018 Physical Activity Guidelines

Adultsbull 150 minutes moderate

intensity per week

School-agebull 60 minutes or more every

day

Preschool bull Active throughout the day

httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf

Presenter
Presentation Notes
The Physical Activity Guidelines for Americans is issues by the US Dept of Health and Human Services The primary audience is policy makers and health professionals though it may also be interesting to members of the public The main ide behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits 1313Key Guidelines1313Adults should move more and sit less throughout the day Some physical activity is better than none 22 minutes or more every day combination of moderate and vigorous intensity with 2 or more days a week of muscle strengthening 1313School-age appropriate to age and enjoyable variety1313Preschool variety of active play throughout the day1313Source httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf1313So we know the guidelines for PA now13

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 37: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Presenter
Presentation Notes
I am going to walk through different examples of this wheel showing how Food Services Guidelines are developed and implemented For example understanding and knowing your leadership

Engage Stakeholders and Partners

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Community Support

Positive Responses ldquoThey taste greatrdquoldquoI like to feel energizedrdquo ldquoIt makes me feel more productive at workrdquo

bull Employees feel supportedbull Encouraged to take better

care of themselves bull Appreciate having healthy

options

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Food and Beverage Assessment

Examples include bull Fruit and Vegetablesbull Grainsbull Dairybull Beveragesbull Nutritional Labeling

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Update Food and Beverage Policy

bull Traditional Foods introduced into hospitals

bull Soda free Campus

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Review Purchasing and Agreement

Process for purchasing agreements

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Communication Strategies

Healthy Food Choices

Benefitsbull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancers

Source Dietary Guidelines for Americans 2015-2020 Eight Edition (pg 17)

Presenter
Presentation Notes
httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Fruit on the counterbull Nuts from your snack drawerbull Healthy Food from the vending machinebull Drive your car to the closest fast food joint

Itrsquos 3pm you worked through lunch and your belly is growling

Presenter
Presentation Notes
Making the healthy choice the easy choice

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to save any questions you may have while you listen to my friend and colleague Dawn talk about how active transportation improves physical activity and is an investment in health 13

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Active Transportation is a strategy to increase physical activity and works across the lifespan Think of strollering baby to a park walking child to day care school or the rest of us using active transportation to walk bike or bus to any destination we desire

Active Transportation Improves Physical Activity and is

an Investment in Health

Presenter
Presentation Notes
Imagine how much PA you would each tally if everyday you had a activity friendly route (safe route to walk your kids to school use transit carpool bike to meet friends at a restaurant grab groceries or arrive work Of course this would mean you would get more physical activity

Safer and Healthier Streets for EVERYONE

Active Transportation Initiative

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

2018 Physical Activity Guidelines

Adultsbull 150 minutes moderate

intensity per week

School-agebull 60 minutes or more every

day

Preschool bull Active throughout the day

httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf

Presenter
Presentation Notes
The Physical Activity Guidelines for Americans is issues by the US Dept of Health and Human Services The primary audience is policy makers and health professionals though it may also be interesting to members of the public The main ide behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits 1313Key Guidelines1313Adults should move more and sit less throughout the day Some physical activity is better than none 22 minutes or more every day combination of moderate and vigorous intensity with 2 or more days a week of muscle strengthening 1313School-age appropriate to age and enjoyable variety1313Preschool variety of active play throughout the day1313Source httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf1313So we know the guidelines for PA now13

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 38: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Engage Stakeholders and Partners

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Community Support

Positive Responses ldquoThey taste greatrdquoldquoI like to feel energizedrdquo ldquoIt makes me feel more productive at workrdquo

bull Employees feel supportedbull Encouraged to take better

care of themselves bull Appreciate having healthy

options

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Food and Beverage Assessment

Examples include bull Fruit and Vegetablesbull Grainsbull Dairybull Beveragesbull Nutritional Labeling

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Update Food and Beverage Policy

bull Traditional Foods introduced into hospitals

bull Soda free Campus

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Review Purchasing and Agreement

Process for purchasing agreements

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Communication Strategies

Healthy Food Choices

Benefitsbull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancers

Source Dietary Guidelines for Americans 2015-2020 Eight Edition (pg 17)

Presenter
Presentation Notes
httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Fruit on the counterbull Nuts from your snack drawerbull Healthy Food from the vending machinebull Drive your car to the closest fast food joint

Itrsquos 3pm you worked through lunch and your belly is growling

Presenter
Presentation Notes
Making the healthy choice the easy choice

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to save any questions you may have while you listen to my friend and colleague Dawn talk about how active transportation improves physical activity and is an investment in health 13

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Active Transportation is a strategy to increase physical activity and works across the lifespan Think of strollering baby to a park walking child to day care school or the rest of us using active transportation to walk bike or bus to any destination we desire

Active Transportation Improves Physical Activity and is

an Investment in Health

Presenter
Presentation Notes
Imagine how much PA you would each tally if everyday you had a activity friendly route (safe route to walk your kids to school use transit carpool bike to meet friends at a restaurant grab groceries or arrive work Of course this would mean you would get more physical activity

Safer and Healthier Streets for EVERYONE

Active Transportation Initiative

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

2018 Physical Activity Guidelines

Adultsbull 150 minutes moderate

intensity per week

School-agebull 60 minutes or more every

day

Preschool bull Active throughout the day

httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf

Presenter
Presentation Notes
The Physical Activity Guidelines for Americans is issues by the US Dept of Health and Human Services The primary audience is policy makers and health professionals though it may also be interesting to members of the public The main ide behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits 1313Key Guidelines1313Adults should move more and sit less throughout the day Some physical activity is better than none 22 minutes or more every day combination of moderate and vigorous intensity with 2 or more days a week of muscle strengthening 1313School-age appropriate to age and enjoyable variety1313Preschool variety of active play throughout the day1313Source httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf1313So we know the guidelines for PA now13

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 39: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Community Support

Positive Responses ldquoThey taste greatrdquoldquoI like to feel energizedrdquo ldquoIt makes me feel more productive at workrdquo

bull Employees feel supportedbull Encouraged to take better

care of themselves bull Appreciate having healthy

options

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Food and Beverage Assessment

Examples include bull Fruit and Vegetablesbull Grainsbull Dairybull Beveragesbull Nutritional Labeling

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Update Food and Beverage Policy

bull Traditional Foods introduced into hospitals

bull Soda free Campus

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Review Purchasing and Agreement

Process for purchasing agreements

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Communication Strategies

Healthy Food Choices

Benefitsbull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancers

Source Dietary Guidelines for Americans 2015-2020 Eight Edition (pg 17)

Presenter
Presentation Notes
httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Fruit on the counterbull Nuts from your snack drawerbull Healthy Food from the vending machinebull Drive your car to the closest fast food joint

Itrsquos 3pm you worked through lunch and your belly is growling

Presenter
Presentation Notes
Making the healthy choice the easy choice

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to save any questions you may have while you listen to my friend and colleague Dawn talk about how active transportation improves physical activity and is an investment in health 13

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Active Transportation is a strategy to increase physical activity and works across the lifespan Think of strollering baby to a park walking child to day care school or the rest of us using active transportation to walk bike or bus to any destination we desire

Active Transportation Improves Physical Activity and is

an Investment in Health

Presenter
Presentation Notes
Imagine how much PA you would each tally if everyday you had a activity friendly route (safe route to walk your kids to school use transit carpool bike to meet friends at a restaurant grab groceries or arrive work Of course this would mean you would get more physical activity

Safer and Healthier Streets for EVERYONE

Active Transportation Initiative

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

2018 Physical Activity Guidelines

Adultsbull 150 minutes moderate

intensity per week

School-agebull 60 minutes or more every

day

Preschool bull Active throughout the day

httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf

Presenter
Presentation Notes
The Physical Activity Guidelines for Americans is issues by the US Dept of Health and Human Services The primary audience is policy makers and health professionals though it may also be interesting to members of the public The main ide behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits 1313Key Guidelines1313Adults should move more and sit less throughout the day Some physical activity is better than none 22 minutes or more every day combination of moderate and vigorous intensity with 2 or more days a week of muscle strengthening 1313School-age appropriate to age and enjoyable variety1313Preschool variety of active play throughout the day1313Source httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf1313So we know the guidelines for PA now13

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 40: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Community Support

Positive Responses ldquoThey taste greatrdquoldquoI like to feel energizedrdquo ldquoIt makes me feel more productive at workrdquo

bull Employees feel supportedbull Encouraged to take better

care of themselves bull Appreciate having healthy

options

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Food and Beverage Assessment

Examples include bull Fruit and Vegetablesbull Grainsbull Dairybull Beveragesbull Nutritional Labeling

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Update Food and Beverage Policy

bull Traditional Foods introduced into hospitals

bull Soda free Campus

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Review Purchasing and Agreement

Process for purchasing agreements

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Communication Strategies

Healthy Food Choices

Benefitsbull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancers

Source Dietary Guidelines for Americans 2015-2020 Eight Edition (pg 17)

Presenter
Presentation Notes
httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Fruit on the counterbull Nuts from your snack drawerbull Healthy Food from the vending machinebull Drive your car to the closest fast food joint

Itrsquos 3pm you worked through lunch and your belly is growling

Presenter
Presentation Notes
Making the healthy choice the easy choice

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to save any questions you may have while you listen to my friend and colleague Dawn talk about how active transportation improves physical activity and is an investment in health 13

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Active Transportation is a strategy to increase physical activity and works across the lifespan Think of strollering baby to a park walking child to day care school or the rest of us using active transportation to walk bike or bus to any destination we desire

Active Transportation Improves Physical Activity and is

an Investment in Health

Presenter
Presentation Notes
Imagine how much PA you would each tally if everyday you had a activity friendly route (safe route to walk your kids to school use transit carpool bike to meet friends at a restaurant grab groceries or arrive work Of course this would mean you would get more physical activity

Safer and Healthier Streets for EVERYONE

Active Transportation Initiative

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

2018 Physical Activity Guidelines

Adultsbull 150 minutes moderate

intensity per week

School-agebull 60 minutes or more every

day

Preschool bull Active throughout the day

httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf

Presenter
Presentation Notes
The Physical Activity Guidelines for Americans is issues by the US Dept of Health and Human Services The primary audience is policy makers and health professionals though it may also be interesting to members of the public The main ide behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits 1313Key Guidelines1313Adults should move more and sit less throughout the day Some physical activity is better than none 22 minutes or more every day combination of moderate and vigorous intensity with 2 or more days a week of muscle strengthening 1313School-age appropriate to age and enjoyable variety1313Preschool variety of active play throughout the day1313Source httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf1313So we know the guidelines for PA now13

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 41: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Food and Beverage Assessment

Examples include bull Fruit and Vegetablesbull Grainsbull Dairybull Beveragesbull Nutritional Labeling

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Update Food and Beverage Policy

bull Traditional Foods introduced into hospitals

bull Soda free Campus

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Review Purchasing and Agreement

Process for purchasing agreements

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Communication Strategies

Healthy Food Choices

Benefitsbull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancers

Source Dietary Guidelines for Americans 2015-2020 Eight Edition (pg 17)

Presenter
Presentation Notes
httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Fruit on the counterbull Nuts from your snack drawerbull Healthy Food from the vending machinebull Drive your car to the closest fast food joint

Itrsquos 3pm you worked through lunch and your belly is growling

Presenter
Presentation Notes
Making the healthy choice the easy choice

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to save any questions you may have while you listen to my friend and colleague Dawn talk about how active transportation improves physical activity and is an investment in health 13

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Active Transportation is a strategy to increase physical activity and works across the lifespan Think of strollering baby to a park walking child to day care school or the rest of us using active transportation to walk bike or bus to any destination we desire

Active Transportation Improves Physical Activity and is

an Investment in Health

Presenter
Presentation Notes
Imagine how much PA you would each tally if everyday you had a activity friendly route (safe route to walk your kids to school use transit carpool bike to meet friends at a restaurant grab groceries or arrive work Of course this would mean you would get more physical activity

Safer and Healthier Streets for EVERYONE

Active Transportation Initiative

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

2018 Physical Activity Guidelines

Adultsbull 150 minutes moderate

intensity per week

School-agebull 60 minutes or more every

day

Preschool bull Active throughout the day

httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf

Presenter
Presentation Notes
The Physical Activity Guidelines for Americans is issues by the US Dept of Health and Human Services The primary audience is policy makers and health professionals though it may also be interesting to members of the public The main ide behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits 1313Key Guidelines1313Adults should move more and sit less throughout the day Some physical activity is better than none 22 minutes or more every day combination of moderate and vigorous intensity with 2 or more days a week of muscle strengthening 1313School-age appropriate to age and enjoyable variety1313Preschool variety of active play throughout the day1313Source httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf1313So we know the guidelines for PA now13

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 42: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Food and Beverage Assessment

Examples include bull Fruit and Vegetablesbull Grainsbull Dairybull Beveragesbull Nutritional Labeling

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Update Food and Beverage Policy

bull Traditional Foods introduced into hospitals

bull Soda free Campus

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Review Purchasing and Agreement

Process for purchasing agreements

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Communication Strategies

Healthy Food Choices

Benefitsbull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancers

Source Dietary Guidelines for Americans 2015-2020 Eight Edition (pg 17)

Presenter
Presentation Notes
httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Fruit on the counterbull Nuts from your snack drawerbull Healthy Food from the vending machinebull Drive your car to the closest fast food joint

Itrsquos 3pm you worked through lunch and your belly is growling

Presenter
Presentation Notes
Making the healthy choice the easy choice

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to save any questions you may have while you listen to my friend and colleague Dawn talk about how active transportation improves physical activity and is an investment in health 13

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Active Transportation is a strategy to increase physical activity and works across the lifespan Think of strollering baby to a park walking child to day care school or the rest of us using active transportation to walk bike or bus to any destination we desire

Active Transportation Improves Physical Activity and is

an Investment in Health

Presenter
Presentation Notes
Imagine how much PA you would each tally if everyday you had a activity friendly route (safe route to walk your kids to school use transit carpool bike to meet friends at a restaurant grab groceries or arrive work Of course this would mean you would get more physical activity

Safer and Healthier Streets for EVERYONE

Active Transportation Initiative

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

2018 Physical Activity Guidelines

Adultsbull 150 minutes moderate

intensity per week

School-agebull 60 minutes or more every

day

Preschool bull Active throughout the day

httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf

Presenter
Presentation Notes
The Physical Activity Guidelines for Americans is issues by the US Dept of Health and Human Services The primary audience is policy makers and health professionals though it may also be interesting to members of the public The main ide behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits 1313Key Guidelines1313Adults should move more and sit less throughout the day Some physical activity is better than none 22 minutes or more every day combination of moderate and vigorous intensity with 2 or more days a week of muscle strengthening 1313School-age appropriate to age and enjoyable variety1313Preschool variety of active play throughout the day1313Source httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf1313So we know the guidelines for PA now13

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 43: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Update Food and Beverage Policy

bull Traditional Foods introduced into hospitals

bull Soda free Campus

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Review Purchasing and Agreement

Process for purchasing agreements

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Communication Strategies

Healthy Food Choices

Benefitsbull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancers

Source Dietary Guidelines for Americans 2015-2020 Eight Edition (pg 17)

Presenter
Presentation Notes
httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Fruit on the counterbull Nuts from your snack drawerbull Healthy Food from the vending machinebull Drive your car to the closest fast food joint

Itrsquos 3pm you worked through lunch and your belly is growling

Presenter
Presentation Notes
Making the healthy choice the easy choice

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to save any questions you may have while you listen to my friend and colleague Dawn talk about how active transportation improves physical activity and is an investment in health 13

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Active Transportation is a strategy to increase physical activity and works across the lifespan Think of strollering baby to a park walking child to day care school or the rest of us using active transportation to walk bike or bus to any destination we desire

Active Transportation Improves Physical Activity and is

an Investment in Health

Presenter
Presentation Notes
Imagine how much PA you would each tally if everyday you had a activity friendly route (safe route to walk your kids to school use transit carpool bike to meet friends at a restaurant grab groceries or arrive work Of course this would mean you would get more physical activity

Safer and Healthier Streets for EVERYONE

Active Transportation Initiative

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

2018 Physical Activity Guidelines

Adultsbull 150 minutes moderate

intensity per week

School-agebull 60 minutes or more every

day

Preschool bull Active throughout the day

httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf

Presenter
Presentation Notes
The Physical Activity Guidelines for Americans is issues by the US Dept of Health and Human Services The primary audience is policy makers and health professionals though it may also be interesting to members of the public The main ide behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits 1313Key Guidelines1313Adults should move more and sit less throughout the day Some physical activity is better than none 22 minutes or more every day combination of moderate and vigorous intensity with 2 or more days a week of muscle strengthening 1313School-age appropriate to age and enjoyable variety1313Preschool variety of active play throughout the day1313Source httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf1313So we know the guidelines for PA now13

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 44: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Update Food and Beverage Policy

bull Traditional Foods introduced into hospitals

bull Soda free Campus

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Review Purchasing and Agreement

Process for purchasing agreements

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Communication Strategies

Healthy Food Choices

Benefitsbull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancers

Source Dietary Guidelines for Americans 2015-2020 Eight Edition (pg 17)

Presenter
Presentation Notes
httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Fruit on the counterbull Nuts from your snack drawerbull Healthy Food from the vending machinebull Drive your car to the closest fast food joint

Itrsquos 3pm you worked through lunch and your belly is growling

Presenter
Presentation Notes
Making the healthy choice the easy choice

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to save any questions you may have while you listen to my friend and colleague Dawn talk about how active transportation improves physical activity and is an investment in health 13

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Active Transportation is a strategy to increase physical activity and works across the lifespan Think of strollering baby to a park walking child to day care school or the rest of us using active transportation to walk bike or bus to any destination we desire

Active Transportation Improves Physical Activity and is

an Investment in Health

Presenter
Presentation Notes
Imagine how much PA you would each tally if everyday you had a activity friendly route (safe route to walk your kids to school use transit carpool bike to meet friends at a restaurant grab groceries or arrive work Of course this would mean you would get more physical activity

Safer and Healthier Streets for EVERYONE

Active Transportation Initiative

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

2018 Physical Activity Guidelines

Adultsbull 150 minutes moderate

intensity per week

School-agebull 60 minutes or more every

day

Preschool bull Active throughout the day

httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf

Presenter
Presentation Notes
The Physical Activity Guidelines for Americans is issues by the US Dept of Health and Human Services The primary audience is policy makers and health professionals though it may also be interesting to members of the public The main ide behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits 1313Key Guidelines1313Adults should move more and sit less throughout the day Some physical activity is better than none 22 minutes or more every day combination of moderate and vigorous intensity with 2 or more days a week of muscle strengthening 1313School-age appropriate to age and enjoyable variety1313Preschool variety of active play throughout the day1313Source httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf1313So we know the guidelines for PA now13

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 45: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Review Purchasing and Agreement

Process for purchasing agreements

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Communication Strategies

Healthy Food Choices

Benefitsbull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancers

Source Dietary Guidelines for Americans 2015-2020 Eight Edition (pg 17)

Presenter
Presentation Notes
httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Fruit on the counterbull Nuts from your snack drawerbull Healthy Food from the vending machinebull Drive your car to the closest fast food joint

Itrsquos 3pm you worked through lunch and your belly is growling

Presenter
Presentation Notes
Making the healthy choice the easy choice

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to save any questions you may have while you listen to my friend and colleague Dawn talk about how active transportation improves physical activity and is an investment in health 13

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Active Transportation is a strategy to increase physical activity and works across the lifespan Think of strollering baby to a park walking child to day care school or the rest of us using active transportation to walk bike or bus to any destination we desire

Active Transportation Improves Physical Activity and is

an Investment in Health

Presenter
Presentation Notes
Imagine how much PA you would each tally if everyday you had a activity friendly route (safe route to walk your kids to school use transit carpool bike to meet friends at a restaurant grab groceries or arrive work Of course this would mean you would get more physical activity

Safer and Healthier Streets for EVERYONE

Active Transportation Initiative

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

2018 Physical Activity Guidelines

Adultsbull 150 minutes moderate

intensity per week

School-agebull 60 minutes or more every

day

Preschool bull Active throughout the day

httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf

Presenter
Presentation Notes
The Physical Activity Guidelines for Americans is issues by the US Dept of Health and Human Services The primary audience is policy makers and health professionals though it may also be interesting to members of the public The main ide behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits 1313Key Guidelines1313Adults should move more and sit less throughout the day Some physical activity is better than none 22 minutes or more every day combination of moderate and vigorous intensity with 2 or more days a week of muscle strengthening 1313School-age appropriate to age and enjoyable variety1313Preschool variety of active play throughout the day1313Source httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf1313So we know the guidelines for PA now13

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 46: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Review Purchasing and Agreement

Process for purchasing agreements

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Communication Strategies

Healthy Food Choices

Benefitsbull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancers

Source Dietary Guidelines for Americans 2015-2020 Eight Edition (pg 17)

Presenter
Presentation Notes
httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Fruit on the counterbull Nuts from your snack drawerbull Healthy Food from the vending machinebull Drive your car to the closest fast food joint

Itrsquos 3pm you worked through lunch and your belly is growling

Presenter
Presentation Notes
Making the healthy choice the easy choice

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to save any questions you may have while you listen to my friend and colleague Dawn talk about how active transportation improves physical activity and is an investment in health 13

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Active Transportation is a strategy to increase physical activity and works across the lifespan Think of strollering baby to a park walking child to day care school or the rest of us using active transportation to walk bike or bus to any destination we desire

Active Transportation Improves Physical Activity and is

an Investment in Health

Presenter
Presentation Notes
Imagine how much PA you would each tally if everyday you had a activity friendly route (safe route to walk your kids to school use transit carpool bike to meet friends at a restaurant grab groceries or arrive work Of course this would mean you would get more physical activity

Safer and Healthier Streets for EVERYONE

Active Transportation Initiative

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

2018 Physical Activity Guidelines

Adultsbull 150 minutes moderate

intensity per week

School-agebull 60 minutes or more every

day

Preschool bull Active throughout the day

httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf

Presenter
Presentation Notes
The Physical Activity Guidelines for Americans is issues by the US Dept of Health and Human Services The primary audience is policy makers and health professionals though it may also be interesting to members of the public The main ide behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits 1313Key Guidelines1313Adults should move more and sit less throughout the day Some physical activity is better than none 22 minutes or more every day combination of moderate and vigorous intensity with 2 or more days a week of muscle strengthening 1313School-age appropriate to age and enjoyable variety1313Preschool variety of active play throughout the day1313Source httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf1313So we know the guidelines for PA now13

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 47: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Food Service Guidelines

Engage Stakeholders and

Partners

Food and Beverage

Assessment

Update Food and Beverage Policy

Review Purchasing Agreement

Communication Strategies

Community Support

Polic

y an

d Pr

actic

es

Communication Strategies

Healthy Food Choices

Benefitsbull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancers

Source Dietary Guidelines for Americans 2015-2020 Eight Edition (pg 17)

Presenter
Presentation Notes
httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Fruit on the counterbull Nuts from your snack drawerbull Healthy Food from the vending machinebull Drive your car to the closest fast food joint

Itrsquos 3pm you worked through lunch and your belly is growling

Presenter
Presentation Notes
Making the healthy choice the easy choice

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to save any questions you may have while you listen to my friend and colleague Dawn talk about how active transportation improves physical activity and is an investment in health 13

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Active Transportation is a strategy to increase physical activity and works across the lifespan Think of strollering baby to a park walking child to day care school or the rest of us using active transportation to walk bike or bus to any destination we desire

Active Transportation Improves Physical Activity and is

an Investment in Health

Presenter
Presentation Notes
Imagine how much PA you would each tally if everyday you had a activity friendly route (safe route to walk your kids to school use transit carpool bike to meet friends at a restaurant grab groceries or arrive work Of course this would mean you would get more physical activity

Safer and Healthier Streets for EVERYONE

Active Transportation Initiative

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

2018 Physical Activity Guidelines

Adultsbull 150 minutes moderate

intensity per week

School-agebull 60 minutes or more every

day

Preschool bull Active throughout the day

httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf

Presenter
Presentation Notes
The Physical Activity Guidelines for Americans is issues by the US Dept of Health and Human Services The primary audience is policy makers and health professionals though it may also be interesting to members of the public The main ide behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits 1313Key Guidelines1313Adults should move more and sit less throughout the day Some physical activity is better than none 22 minutes or more every day combination of moderate and vigorous intensity with 2 or more days a week of muscle strengthening 1313School-age appropriate to age and enjoyable variety1313Preschool variety of active play throughout the day1313Source httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf1313So we know the guidelines for PA now13

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 48: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Communication Strategies

Healthy Food Choices

Benefitsbull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancers

Source Dietary Guidelines for Americans 2015-2020 Eight Edition (pg 17)

Presenter
Presentation Notes
httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Fruit on the counterbull Nuts from your snack drawerbull Healthy Food from the vending machinebull Drive your car to the closest fast food joint

Itrsquos 3pm you worked through lunch and your belly is growling

Presenter
Presentation Notes
Making the healthy choice the easy choice

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to save any questions you may have while you listen to my friend and colleague Dawn talk about how active transportation improves physical activity and is an investment in health 13

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Active Transportation is a strategy to increase physical activity and works across the lifespan Think of strollering baby to a park walking child to day care school or the rest of us using active transportation to walk bike or bus to any destination we desire

Active Transportation Improves Physical Activity and is

an Investment in Health

Presenter
Presentation Notes
Imagine how much PA you would each tally if everyday you had a activity friendly route (safe route to walk your kids to school use transit carpool bike to meet friends at a restaurant grab groceries or arrive work Of course this would mean you would get more physical activity

Safer and Healthier Streets for EVERYONE

Active Transportation Initiative

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

2018 Physical Activity Guidelines

Adultsbull 150 minutes moderate

intensity per week

School-agebull 60 minutes or more every

day

Preschool bull Active throughout the day

httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf

Presenter
Presentation Notes
The Physical Activity Guidelines for Americans is issues by the US Dept of Health and Human Services The primary audience is policy makers and health professionals though it may also be interesting to members of the public The main ide behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits 1313Key Guidelines1313Adults should move more and sit less throughout the day Some physical activity is better than none 22 minutes or more every day combination of moderate and vigorous intensity with 2 or more days a week of muscle strengthening 1313School-age appropriate to age and enjoyable variety1313Preschool variety of active play throughout the day1313Source httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf1313So we know the guidelines for PA now13

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 49: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Healthy Food Choices

Benefitsbull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancers

Source Dietary Guidelines for Americans 2015-2020 Eight Edition (pg 17)

Presenter
Presentation Notes
httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf13

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Fruit on the counterbull Nuts from your snack drawerbull Healthy Food from the vending machinebull Drive your car to the closest fast food joint

Itrsquos 3pm you worked through lunch and your belly is growling

Presenter
Presentation Notes
Making the healthy choice the easy choice

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to save any questions you may have while you listen to my friend and colleague Dawn talk about how active transportation improves physical activity and is an investment in health 13

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Active Transportation is a strategy to increase physical activity and works across the lifespan Think of strollering baby to a park walking child to day care school or the rest of us using active transportation to walk bike or bus to any destination we desire

Active Transportation Improves Physical Activity and is

an Investment in Health

Presenter
Presentation Notes
Imagine how much PA you would each tally if everyday you had a activity friendly route (safe route to walk your kids to school use transit carpool bike to meet friends at a restaurant grab groceries or arrive work Of course this would mean you would get more physical activity

Safer and Healthier Streets for EVERYONE

Active Transportation Initiative

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

2018 Physical Activity Guidelines

Adultsbull 150 minutes moderate

intensity per week

School-agebull 60 minutes or more every

day

Preschool bull Active throughout the day

httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf

Presenter
Presentation Notes
The Physical Activity Guidelines for Americans is issues by the US Dept of Health and Human Services The primary audience is policy makers and health professionals though it may also be interesting to members of the public The main ide behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits 1313Key Guidelines1313Adults should move more and sit less throughout the day Some physical activity is better than none 22 minutes or more every day combination of moderate and vigorous intensity with 2 or more days a week of muscle strengthening 1313School-age appropriate to age and enjoyable variety1313Preschool variety of active play throughout the day1313Source httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf1313So we know the guidelines for PA now13

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 50: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

You have 5 minutes before your next meetingDo you grabhelliphellip

bull Fruit on the counterbull Nuts from your snack drawerbull Healthy Food from the vending machinebull Drive your car to the closest fast food joint

Itrsquos 3pm you worked through lunch and your belly is growling

Presenter
Presentation Notes
Making the healthy choice the easy choice

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to save any questions you may have while you listen to my friend and colleague Dawn talk about how active transportation improves physical activity and is an investment in health 13

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Active Transportation is a strategy to increase physical activity and works across the lifespan Think of strollering baby to a park walking child to day care school or the rest of us using active transportation to walk bike or bus to any destination we desire

Active Transportation Improves Physical Activity and is

an Investment in Health

Presenter
Presentation Notes
Imagine how much PA you would each tally if everyday you had a activity friendly route (safe route to walk your kids to school use transit carpool bike to meet friends at a restaurant grab groceries or arrive work Of course this would mean you would get more physical activity

Safer and Healthier Streets for EVERYONE

Active Transportation Initiative

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

2018 Physical Activity Guidelines

Adultsbull 150 minutes moderate

intensity per week

School-agebull 60 minutes or more every

day

Preschool bull Active throughout the day

httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf

Presenter
Presentation Notes
The Physical Activity Guidelines for Americans is issues by the US Dept of Health and Human Services The primary audience is policy makers and health professionals though it may also be interesting to members of the public The main ide behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits 1313Key Guidelines1313Adults should move more and sit less throughout the day Some physical activity is better than none 22 minutes or more every day combination of moderate and vigorous intensity with 2 or more days a week of muscle strengthening 1313School-age appropriate to age and enjoyable variety1313Preschool variety of active play throughout the day1313Source httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf1313So we know the guidelines for PA now13

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 51: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Food Service Guidelines Improve Nutrition and is an

Investment in Health

Source httpswwwcdcgovbreastfeedingpdfbreastfeeding-cdcs-work-508pdf

Presenter
Presentation Notes
Now Irsquom going to ask you to save any questions you may have while you listen to my friend and colleague Dawn talk about how active transportation improves physical activity and is an investment in health 13

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Active Transportation is a strategy to increase physical activity and works across the lifespan Think of strollering baby to a park walking child to day care school or the rest of us using active transportation to walk bike or bus to any destination we desire

Active Transportation Improves Physical Activity and is

an Investment in Health

Presenter
Presentation Notes
Imagine how much PA you would each tally if everyday you had a activity friendly route (safe route to walk your kids to school use transit carpool bike to meet friends at a restaurant grab groceries or arrive work Of course this would mean you would get more physical activity

Safer and Healthier Streets for EVERYONE

Active Transportation Initiative

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

2018 Physical Activity Guidelines

Adultsbull 150 minutes moderate

intensity per week

School-agebull 60 minutes or more every

day

Preschool bull Active throughout the day

httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf

Presenter
Presentation Notes
The Physical Activity Guidelines for Americans is issues by the US Dept of Health and Human Services The primary audience is policy makers and health professionals though it may also be interesting to members of the public The main ide behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits 1313Key Guidelines1313Adults should move more and sit less throughout the day Some physical activity is better than none 22 minutes or more every day combination of moderate and vigorous intensity with 2 or more days a week of muscle strengthening 1313School-age appropriate to age and enjoyable variety1313Preschool variety of active play throughout the day1313Source httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf1313So we know the guidelines for PA now13

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 52: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Active Transportation is a strategy to increase physical activity and works across the lifespan Think of strollering baby to a park walking child to day care school or the rest of us using active transportation to walk bike or bus to any destination we desire

Active Transportation Improves Physical Activity and is

an Investment in Health

Presenter
Presentation Notes
Imagine how much PA you would each tally if everyday you had a activity friendly route (safe route to walk your kids to school use transit carpool bike to meet friends at a restaurant grab groceries or arrive work Of course this would mean you would get more physical activity

Safer and Healthier Streets for EVERYONE

Active Transportation Initiative

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

2018 Physical Activity Guidelines

Adultsbull 150 minutes moderate

intensity per week

School-agebull 60 minutes or more every

day

Preschool bull Active throughout the day

httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf

Presenter
Presentation Notes
The Physical Activity Guidelines for Americans is issues by the US Dept of Health and Human Services The primary audience is policy makers and health professionals though it may also be interesting to members of the public The main ide behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits 1313Key Guidelines1313Adults should move more and sit less throughout the day Some physical activity is better than none 22 minutes or more every day combination of moderate and vigorous intensity with 2 or more days a week of muscle strengthening 1313School-age appropriate to age and enjoyable variety1313Preschool variety of active play throughout the day1313Source httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf1313So we know the guidelines for PA now13

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 53: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Active Transportation Improves Physical Activity and is

an Investment in Health

Presenter
Presentation Notes
Imagine how much PA you would each tally if everyday you had a activity friendly route (safe route to walk your kids to school use transit carpool bike to meet friends at a restaurant grab groceries or arrive work Of course this would mean you would get more physical activity

Safer and Healthier Streets for EVERYONE

Active Transportation Initiative

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

2018 Physical Activity Guidelines

Adultsbull 150 minutes moderate

intensity per week

School-agebull 60 minutes or more every

day

Preschool bull Active throughout the day

httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf

Presenter
Presentation Notes
The Physical Activity Guidelines for Americans is issues by the US Dept of Health and Human Services The primary audience is policy makers and health professionals though it may also be interesting to members of the public The main ide behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits 1313Key Guidelines1313Adults should move more and sit less throughout the day Some physical activity is better than none 22 minutes or more every day combination of moderate and vigorous intensity with 2 or more days a week of muscle strengthening 1313School-age appropriate to age and enjoyable variety1313Preschool variety of active play throughout the day1313Source httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf1313So we know the guidelines for PA now13

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 54: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Safer and Healthier Streets for EVERYONE

Active Transportation Initiative

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

2018 Physical Activity Guidelines

Adultsbull 150 minutes moderate

intensity per week

School-agebull 60 minutes or more every

day

Preschool bull Active throughout the day

httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf

Presenter
Presentation Notes
The Physical Activity Guidelines for Americans is issues by the US Dept of Health and Human Services The primary audience is policy makers and health professionals though it may also be interesting to members of the public The main ide behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits 1313Key Guidelines1313Adults should move more and sit less throughout the day Some physical activity is better than none 22 minutes or more every day combination of moderate and vigorous intensity with 2 or more days a week of muscle strengthening 1313School-age appropriate to age and enjoyable variety1313Preschool variety of active play throughout the day1313Source httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf1313So we know the guidelines for PA now13

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 55: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

2018 Physical Activity Guidelines

Adultsbull 150 minutes moderate

intensity per week

School-agebull 60 minutes or more every

day

Preschool bull Active throughout the day

httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf

Presenter
Presentation Notes
The Physical Activity Guidelines for Americans is issues by the US Dept of Health and Human Services The primary audience is policy makers and health professionals though it may also be interesting to members of the public The main ide behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits 1313Key Guidelines1313Adults should move more and sit less throughout the day Some physical activity is better than none 22 minutes or more every day combination of moderate and vigorous intensity with 2 or more days a week of muscle strengthening 1313School-age appropriate to age and enjoyable variety1313Preschool variety of active play throughout the day1313Source httpshealthgovpaguidelinessecond-editionpdfPhysical_Activity_Guidelines_2nd_editionpdf1313So we know the guidelines for PA now13

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 56: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines

1920 21 21

2118

2007

2009

2011

2013

2015

2017

60 minutes of physical activity every day

Source 2018 AK YRBS

Presenter
Presentation Notes
No significant difference between men and women Only 20 of Alaska Youth are meeting daily PA guidelines

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 57: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Less than 60 of Adults are Meeting Daily Physical Activity Guidelines

58 55 59 57

2011

2013

2015

2017

Source 2018 AK BRFSS

150 minutes of moderate physical activity per week

Presenter
Presentation Notes
No significant difference between men and women 13AK Native adults are significantly more likely to be obese 29 vs 34

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 58: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Active transportation promotes physical activity

bull Activity-friendly routesmotivate people to walk bicycle or use transit to theireveryday destinations

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 59: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Health starts where we live learn work and play

Presenter
Presentation Notes
Karol Fink comment added this slide-this is the idea we want to get across Person wants to be active but canrsquot get to local park 1313Public Health professionals realizes that health starts where we live work learn and play ndash long before we need medical care Public Health works with communities health systems worksites and schools to reduce and manage the most prevalent costly and preventable health problems across Alaska These include injuries and chronic diseases like cancer diabetes heart disease stroke and obesity1313While knowledge and education are necessary to influence health behaviors they are not sufficient Health behaviors need to be supported by our community Almost everybody knows physical activity improves health However we have neighborhoods where people do not walk to their everyday destination like their local park trail or grocery store because they have to cross five lanes of traffic traveling at 45 MPH and the signalized cross-walk if one exists does not allow enough time to cross13131313

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 60: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Design communities that make it safe and easy to walk for people of all ages and abilities

A Step it Up Goal

httpswwwsurgeongeneralgovlibrarycallswalking-and-walkable-communitiescall-to-action-walking-and-walkable-communitespdf

Presenter
Presentation Notes
WE need to design communities that make it safe and easy to walk for people of all ages and abilities 1313The Task Force recommendation also supports Step It Up The Surgeon Generalrsquos Call to Action to Promote Walking and Walkable Communities One of the five goals is to design communities that make it safe and easy to walk for people of all ages and abilities Designing streets and communities to encourage pedestrian activity will make it safer and easier for all users including those with mobility limitations and other disabilities 13Released September 9 201513

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 61: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Connecting Activity-Friendly Routes with Everyday Destinations

Pedestrian or Bicycle Transportation Systems Street pattern and connectivity Pedestrian infrastructure Bicycle infrastructure Public transit infrastructure

and access

Land Use and Environmental Design

Proximity to destinations Mixed land use Residential density Parks and recreational facilities

Presenter
Presentation Notes
In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new Connecting Routes + Destinations translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo 1313In physical activity there is a wide audience to consider when making community-level changes to the built environment including public health planners parks and recreation public works departments and traffic engineers CDCrsquos new BE Active translation delivers the Task Force recommendationrsquos detailed and somewhat technical ldquocombo menurdquo in a simple and concise way that can resonate with a variety of practitioners and stakeholders ldquoConnecting activity-friendly routes with everyday destinationsrdquo To increase physical activity the Community Preventive Services Task Force (Task Force) recommends combined built environment approaches that link one or more interventions to improve pedestrian or bicycle transportation systems with one or more land use and environmental design interventions1313The Task Force is an independent nonfederal voluntary panel of public health and prevention experts that provides evidence-based findings about community programs to improve health This built environment recommendation is based on evidence from a systematic review of 90 studies about interventions to increase physical activity that create or modify environmental characteristics in a community to make physical activity easier or more accessible The review found that combinations of activity-supportive built environment characteristics were associated with higher levels of transportation-related physical activity recreational physical activity and total walking1313

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 62: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Disconnected Sidewalk Connected Pathway

Bringing the Recommendation to Life

Presenter
Presentation Notes
The Task Force recommendation tells us that when communities connect activity-friendly routes to everyday destinations it can lead to an improvement in physical activity Therefore creating connections is key On this slide the photo on the left is a disconnected sidewalk to ldquonowhererdquo ndash as opposed to the photo on the right showing a connected pathway that leads to useful everyday destinations such as a transit stop grocery store or workplace

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 63: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Benefits of Walkable Communities

Presenter
Presentation Notes
httpswwwhhsgovsitesdefaultfilescall-to-action-walking-and-walkable-communitespdf1313These are suggestions from Surgeon General1313Improving walkability means that communities are created or enhanced to make it safe and easy to walk and that pedestrian activity is encouraged for all1313Transportation and travel policies that create or enhance pedestrian and bicycle networks and expand transit systems can be another approach to encourage walking and biking for transportation 1313transit users walk an additional 21 minutes a day walking to and from a transit stop or station13

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 64: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Anchorage joins the Vision Zero Initiative

CORE ELEMENTS

Leadership and Commitment

Safe Roadways and Speeds

Data Driven Transparent and Accountable

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 65: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Safer and Healthier Streets for EVERYONE

Presenter
Presentation Notes
we were trying to connect routes and destinations and realized that ANC already had a coalition built and that many of the VZ and our goals overlapped so we decided to join forces

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 66: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Leadership and Stakeholders

Municipalbull Mayorrsquos Office

bull Anchorage Fire Department

bull Anchorage Police Department

bull Department of Health and Human Services

bull Municipal Traffic

bull Parks amp Recreation Department

bull Project Management amp Engineering

bull Public Transportation Department

Community bull Safe Alaskans

bull Alaska Native Tribal Health Consortium

bull Anchorage Metropolitan Area Transportation Solutions (AMATS)

bull Anchorage School District

bull Bike Anchorage

bull Cook Inlet Housing Authority

bull State of Alaska bull Department of Health and Social Services

bull Department of Transportation

bull Physical Activity and Nutrition Unit 66

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 67: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

What we are doing

bull Establish a Core Teambull Continue Working with a Steering Committeebull Develop a Work Plan to Outline Specific Tasks

bull Collect Public Inputbull Data CollectionAnalysis bull Evidence Based Activitiesbull Vision Zero Growth and Sustainabilitybull Education amp Messaging

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 68: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

The need for complete and timely data

Transportation- Related Injury Data amp Analysis

Enforcement Education Targeted Outreach Engineering Policy Interventions Community Input

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 69: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Collect and analyze data to show where to target our outreach

Presenter
Presentation Notes
Here are ways to improve safety based on Anchorage Data

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 70: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Preventable behaviors

bull Distracted driving

bull Speeding

bull Aggressive

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 71: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Targeted outreach ndash behavior change

bull Cell phone ban in active school zonesbull June 2019

bull Kick off Vision Zerobull Fall 2020

bull Anchorage safest driver contest

Presenter
Presentation Notes
13Public Health Staff and resources for 5 years13Formed core and steering committee13Forming community coalition13Educating the public on Vision Zero13Data collection 13Passed a cell phone ban law in school zones 13

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 72: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Schools are everywhere

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 73: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Anchorage Safest Driver App

bull Targeting the top three preventable behaviorsbull Phone distractionbull Harsh brakingbull Speeding

bull Target participants bull Adults bull 16-18 year oldbull Anchorage and Valley commuters

bull Incentivesbull Large cash prizes

Presenter
Presentation Notes
Anchorage Safest Driver Contest coming in Fall 2020 Look for the app from Municipality of Anchorage and USAA insurance agency Improve Safety for Active Transportation

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 74: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Seattlersquos Safest Driver

Resultsbull Phone distraction

bull Harsh braking

bull Speeding

20

18

16

Goalsbull Behavior Change

bull Awareness of Vison Zero

bull Reduce traffic deaths and serious injuries

Presenter
Presentation Notes
13Anchorage will build on success from similar contests in Boston San Antonio and Seattle1313Seattles Safest Driver Results- of the top 50 of users decrease13Phone distraction 2013Harsh braking 1813Speeding 16

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 75: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Physical Activity through Active Transportation Benefits

bull Overweightbull Obesitybull Type 2 Diabetesbull High blood pressurebull Certain cancersbull Premature Deathbull Heart Disease

Source Step It Up The Surgeon Generalrsquos Call To Action To Promote Walking and Walkable Communities

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 76: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Active Transportation Improves Physical Activity and is an

Investment in Health

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 77: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

What do breastfeeding food service guidelines and active transportation have in common

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 78: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

OUR VISION Healthy Alaskans Across the Lifespan

Breastfeeding Food Service Guidelines Active Transportation

Presenter
Presentation Notes
Our initiatives are intended improve the health of Alaskans Across the Lifespan We work on strategies to improve the health of infants preschool school-age and adults 1313

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 79: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Common ThreadNutrition

Physical Activity

Investment in Health

Helping Reduce Chronic Diseases bullOverweightbullObesitybullType 2 DiabetesbullHigh blood pressurebullCertain cancers

Presenter
Presentation Notes
We are going to repeat over and over again the common threadhellip Breastfeeding Food Service Guidelines and Active Transportation improve nutrition increase physical activity and are an investment in health

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 80: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

What can you do

bull Support mother amp baby breastfeeding bull Ask for healthy food choices at your workbull Walk bike or bus in your neighborhoodbull Sign up for Anchorage Safest Driver App

bull Ready Fall 2020

Presenter
Presentation Notes
Play the Anchorage Safest Driver Contest download the app

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you
Page 81: What do breastfeeding, food service guidelines, and …...What do breastfeeding, food service guidelines, and active transportation have in common? Dawn Groth, RN, BSN, MSOEE Lori

Thank you

Dawn Groth RN BSN MSOEEbull DawnGrothAlaskagovbull Breastfeeding and Transportation

Lori Price MSP BS ASbull LoriPricealaskagovbull Food Service Guidelines Breastfeeding Early Childhood

Education and Transportation School Health Support

  • What do breastfeeding food service guidelines and active transportation have in common
  • Common Thread
  • Overview
  • The problem Too Many Alaska Adults have Obesity
  • Alaska is a one of only 16 states funded by CDC State Physical Activity and Nutrition (SPAN) grant
  • Our work based on Evidence Based Public Health strategies
  • Three Initiatives
  • OUR VISION Healthy Alaskans Across the Lifespan
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Breastfeeding Improves Nutrition and is an Investment in Health
  • Alaska Breastfeeding Initiative
  • Benefits of Breastfeeding
  • American Academy of Pediatrics (AAP)
  • Letrsquos monitor how Alaska is doing
  • Alaska PRAMS
  • What mothers report
  • Breastfeeding initiation 2017
  • Any breastfeeding at 8 weeks 2016
  • Why do Alaska mothers report stop breastfeeding before their babies are 8 weeks old
  • Alaska PRAMS Reports
  • Hospitals report
  • Ten Steps to Successful Breastfeeding Evidence-Based
  • Slide Number 23
  • Slide Number 24
  • Steps with most evidencemPINC results 2009-2015
  • Alaska Breastfeeding Initiative
  • Work on all strategies at once
  • 2019 Alaska Baby Friendly Hospitals
  • How you can support breastfeeding
  • Breastfeeding Improves Nutrition and is an Investment In Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • Slide Number 33
  • Food Service Guidelines
  • Food Service Guidelines
  • Healthy Food Initiative
  • Slide Number 37
  • Engage Stakeholders and Partners
  • Slide Number 39
  • Community Support
  • Slide Number 41
  • Food and Beverage Assessment
  • Slide Number 43
  • Update Food and Beverage Policy
  • Slide Number 45
  • Review Purchasing and Agreement
  • Slide Number 47
  • Communication Strategies
  • Healthy Food Choices
  • Slide Number 50
  • Food Service Guidelines Improve Nutrition and is an Investment in Health
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Active Transportation Improves Physical Activity and is an Investment in Health
  • Safer and Healthier Streets for EVERYONE
  • 2018 Physical Activity Guidelines
  • Only 20 of Alaska Youth are Meeting Daily Physical Activity Guidelines
  • Less than 60 of Adults are Meeting Daily Physical Activity Guidelines
  • Active transportation promotes physical activity
  • Health starts where we live learn work and play
  • A Step it Up Goal
  • Connecting Activity-Friendly Routes with Everyday Destinations
  • Bringing the Recommendation to Life
  • Benefits of Walkable Communities
  • Anchorage joins the Vision Zero Initiative
  • Safer and Healthier Streets for EVERYONE
  • Leadership and Stakeholders
  • What we are doing
  • The need for complete and timely data
  • Collect and analyze data to show where to target our outreach
  • Preventable behaviors
  • Targeted outreach ndash behavior change
  • Schools are everywhere
  • Anchorage Safest Driver App
  • Seattlersquos Safest Driver
  • Physical Activity through Active Transportation Benefits
  • Active Transportation Improves Physical Activity and is anInvestment in Health
  • What do breastfeeding food service guidelines and active transportation have in common
  • OUR VISION Healthy Alaskans Across the Lifespan
  • Common Thread
  • What can you do
  • Thank you

Groth Corporation Industrial Catalog

Groth Corporation Industrial Catalog

Groth-Sahai proof system - BlazyContents 1 Introduction 2 Groth-Sahai proof system Non-Interactive Zero-Knowledge proofs Bilinear maps Groth-Ostrovsky-Sahai Groth-Sahai (2008) O. Blazy

Groth-Sahai proof system - BlazyContents 1 Introduction 2 Groth-Sahai proof system Non-Interactive Zero-Knowledge proofs Bilinear maps Groth-Ostrovsky-Sahai Groth-Sahai (2008) O. Blazy

Groth Product Catalog 2006

Groth Product Catalog 2006

or Breastfeeding Your Baby or - Yahoolib.store.yahoo.net/lib/yhst-54440449668440/... · 2007. 8. 22. · Breastfeeding Your Baby GUIDELINES FOR NURSING MOTHERS YOUR BABY’S AGE 1

or Breastfeeding Your Baby or - Yahoolib.store.yahoo.net/lib/yhst-54440449668440/... · 2007. 8. 22. · Breastfeeding Your Baby GUIDELINES FOR NURSING MOTHERS YOUR BABY’S AGE 1

Breastfeeding Practice Guidelines for the Healthy Term Infant · 2020-01-18 · Breastfeeding Practice Guidelines for the Healthy Term Infant 4 • The nurse will help the mother

Breastfeeding Practice Guidelines for the Healthy Term Infant · 2020-01-18 · Breastfeeding Practice Guidelines for the Healthy Term Infant 4 • The nurse will help the mother

Fine-Tuning Groth-Sahai Proofs Alex Escala Scytl Secure Electronic Voting Jens Groth University College London.

Fine-Tuning Groth-Sahai Proofs Alex Escala Scytl Secure Electronic Voting Jens Groth University College London.

Requiem - KyrieJan Groth 2017 Requiem Wolfgang Amadé Mozart bearb. Jan Groth Requiem - Kyrie

Requiem - KyrieJan Groth 2017 Requiem Wolfgang Amadé Mozart bearb. Jan Groth Requiem - Kyrie

Breastfeeding Practice Guidelines for the Healthy Term Infant

Breastfeeding Practice Guidelines for the Healthy Term Infant

Victorian Breastfeeding Guidelines Assoc Prof Lisa Amir Ms Anita Moorhead MCH Conference 18 September 2014.

Victorian Breastfeeding Guidelines Assoc Prof Lisa Amir Ms Anita Moorhead MCH Conference 18 September 2014.

sHepHerd oF tHe prAirie - static1.squarespace.com · Dave Lamb GROTH DESIGN PARTNER/ARCHITECT Steve Petitt, AIA GROTH DESIGN PROJECT MANAGER Nathan Pamperin ... Sister Charlotte w/GROTH

sHepHerd oF tHe prAirie - static1.squarespace.com · Dave Lamb GROTH DESIGN PARTNER/ARCHITECT Steve Petitt, AIA GROTH DESIGN PROJECT MANAGER Nathan Pamperin ... Sister Charlotte w/GROTH

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Groth Catalogue

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Notes on Derivators - Groth

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Magnus Groth President and CEO

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CZ Groth of Scintillating Crystal

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GROTH Product Selection Guide

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Reactor Design for Cell Groth

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Breastfeeding Understanding Breastfeeding Behaviors

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